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Coalition to Protect Kids-NY - Presentation Request
Someone will contact you after filling out the request. Please answer ALL the questions to the best of your ability. The more information we have the better we can serve you and direct you to the best presenter.
Name *
email address
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Are you requesting as an individual or on behalf of a group, organizations, church, etc... Choose one
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Name of group, individual, organization requesting presentation 
Please add your website and/or social media page link below.
What kind of session are you requesting? *
The Coalition to Protect kids is made up extremely diverse individuals, groups, cultural backgrounds ..... What type of audience can we expect to be presenting in front of? For example: LGBT, Christians, Democrats, Libertarians, Gun owners, Doctors, Atheists, Republicans, Muslims, Homeschoolers, Teachers, Orthodox Jewish, Parents, Grandparents, Business owners, Union workers etc....
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What county would the event/presentation take place?
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What is the zip code for the location the event will take place in?
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Desired Date
MM
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DD
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YYYY
Desired Time
Time
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If an in person event is there equipment or a PowerPoint?
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If an in person event please describe the venue, IF you already have one picked out. Is there a speaker system, chairs, tables, is this a meeting space or will food be served and so on... If you are unsure of the venue please let us know that as well.
If you do not have a specific date needed and can be flexible please type something like flexible or give a few dates and times you had in mind
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Telephone Number *
How did you first learn about Prop 1 / The ERA (so called equal rights amendment) / Parent Replacement Act?
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Are there any groups or organizations you can think of we should contact to invite to the presentation / event ? If Yes please add as much information as you can about them: the Group(s) Name, contact name, number and email, and if they have one their website.  If no type N/A
Is there anything else we should know or you want to tell us?
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