audienceform

"Aunt Molly & Friends"
is taping at

Thanks! Your info has been received. We will let you know when the next taping day is going to be!

Email: *

Mall of the Bluffs Shopping Center
Council Bluffs, Iowa

Next taping coming soon!

They are a:

Boy

Girl

Age: *

If you have a child between the ages of 5 and 11 years old
who is interested in appearing in the audience of

"Aunt Molly & Friends", just complete the form below
and we will let you know when the next taping is going to be!

Child's Name: *

Comments:

How did you hear about the show?

TV commercial

Radio

Saw the show

Internet

Friend

Other

City: *

Daytime/Cell Phone: *

State: *

What other:

Has your child appeared on the show before?

Yes

No

Parent's Name: *