Awareness Presentation Registration
Which Awareness Campaign(s) are you registering for? *
Required
Personal Information
Name (first & last) *
Title/Position
Grade (if student or teacher)
Email *
Phone Number (please put the number that is easiest to contact you) *
How do you prefer being contacted? *
How are you registering? *
Are you requesting this to be an in-person presentation or a virtual presentation? *
Organization/School Info
If this is a virtual presentation, disregard questions pertaining to a physical location.
Name *
Address (Street, City, State, Zip Code) *
Website *
Phone
Event Details
Requested date(s) for campaign: *
(mm/dd/yy)
Requested time for campaign: *
specific time (ex: 11:30am-12:45pm), half-day (morning), half-day (evening), full-day, etc.
Suggested arrival time:
If applicable for set up, technology run through, sound check, etc.
Is the presentation location the same as the address given above? *
If not, please provide the address (street, city, state, zip code) of the presentation location.
Additional location details:
If applicable: building number/name, room number, parking instructions, etc.
Estimated length of presentation: *
How many presentations are being requested? *
Estimated number of people in attendance *
Will there be proper equipment for presentation media? (i.e. overhead projector, computer, speakers, access to digital platform, etc.) *
If so, please select the equipment that will be provided:
Brief description of requested event: *
Additional comments:
If your request is for an in-person presentation, please include as many details as possible about social distancing and other health policies your venue/agencies is implementing.
Thank you for booking with us! We are excited to fight for freedom with you! We will contact you within a week of your submission to confirm your registration and begin the planning process!

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