Be in the Audience - Mon. August 18th Kids 13 and older...

Dr. Phil is preparing to do a show about being bullied. If you have children ages 13 and up and would like them to be apart of this educational and life changing show please submit the form below and an audience coordinator will call you back. The arrival time will be 8:00AM and out approximately 11:00AM.

* Required Fields
Your Name: *
Guest 1:
Guest 2:
Guest 3:
Birthday: *
E-mail Address: *
Street Address: *
City: *
State: *
Zip/Postal Code: *
Country: *
I will be in the
Los Angeles area
(ex: I live here, from 8/24 - 9/10)
  Numbers only: XXXXXXXXXX
Phone: *
Alternate Phone: *
Your message: