I Am The Change Event Request Form
A service of Freedom Youth Project Foundation
Contact name *
Name of contact to discuss event requirements
Your answer
Contact title *
Ex: Pastor, Youth Pastor, Teacher, Professor, Principal
Your answer
Contact phone number *
Your answer
Contact email *
Your answer
Name of school or church requesting event *
Your answer
How many participants will attend event? *
Your answer
What is the age-level for attendees *
Check all that apply
Required
Proposed date of event *
Your answer
Proposed tIme of training *
Your answer
Address and room of event *
Street address and room name or number, include building name if it applies
Your answer
Do you have a room suitable for event on-site? *
Can you provide a projector screen? *
(we provide laptop and projector)
Questions, Comments or Concerns
Your answer
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