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Speakers Bureau Request Form
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This form has been modified since it was saved. Please review all fields before submitting.
So we may best serve you, we ask that your request be a minimum of two weeks before your event. We look forward to speaking to your community or civic group.
Your Name
*
Address
Phone Number
*
Email
*
Name of organization for whom you are requesting a speaker.
*
Briefly state the organization's mission, goals or purpose.
*
Event for which you are requesting a speaker.
*
Address of Meeting/Event
*
City
*
State
*
Zip
*
Number of People Expected to Attend
*
Date and time for which you are requesting a speaker.
*
Date and time for which you are requesting a speaker.
Date and time for which you are requesting a speaker.
Topic You Are Requesting for Meeting/Event
*
-- Select One --
Kids Just Want to Have Fun: Parks and Recreation Opportunities for Children and Youth
Change the Way You Age: Parks and Recreation Opportunities for Seniors 60 and Better
Health and Wellness: An Overview of Recreation Programs and Leisure Opportunities
Keep Your Park Safe: Working with Park Police
Share Your Time, Skills, and Talents: Volunteer Opportunities in Parks and Recreation
Preferred Length of Time for Presentation
*
-- Select One --
30 minutes
45 minutes
1 hour
Other
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