Book Presentation Form

Book Presentation Request Form

Book Presentation Inquiry

Contact Information

Name *

Name

First

Last

Organization/Institute *

Email *

Phone *

Event Details

Type of Event (Conference, Event, PD Day, etc.)

Date(s) of Event:

Location (City, State/Province, Country)

Expected Number of Attendees

Details of the Attendees (professional, parents, etc.)

What Primary Need(s) or Event Focus

Presentation Topic or Interest

Select all that apply:

Crisis Management Tools for those working with at risk children and families

#Not Me—Prevention dialogue to equip children with the tools to stay safe

Anti-bullying, Pink Day, LGBTQ2SA+, Assertiveness, Inclusion for children

Your Career– Find the job that truly resonates with YOU

Personal Development: Get on the path where growth and impact converge

Perennial Diaries: A Journey to the Inner Self for each Season

Duration of Presentation

Desired Format (Keynote, Workshop, Seminar, etc.)

Additional Information or Specific Requests

Additional Services

Resource Package Purchase Option

Yes

Presentation Materials

Yes

Customized Workshops (Live Webinar or In Person)

Yes

Comments or Questions

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