Request a Speaker
Invite a representative of the Children’s Attention Home to your next group gathering! We’ve visited children’s Sunday school classes, corporate and civic group gatherings, and many more.

Whether it’s 5 minutes or an hour, we’d love to come share our story and learn more about your group or organization. Please complete the form below, and you will be contacted by a member of our Outreach team regarding you request.

Email address *
Contact Number: *
Your answer
Contact Name: *
Your answer
Name of Organization: *
Your answer
Date of Event *
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YYYY
Event Start Time *
Time
:
Event End Time *
Time
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Event Timeline *
Your answer
What time will our representative speak? *
Time
:
Length of presentation *
Example: 30 min speaking, 15 min Q&A; 10 min speaking, no Q&A
Your answer
Is there anything specific you would like to have covered in the presentation?
Your answer
Event Location: *
Your answer
Additional details or directions regarding event location?
Your answer
Requested materials
Estimated # of Participants
Your answer
Technical Capabilities
Requested staff representative
Additional notes?
Your answer
A copy of your responses will be emailed to the address you provided.
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