Lumbee Ambassador Appearance Request 2019-2021
Please fill out form completely. Incomplete requests will not be accepted. LRDA is in compliance with the CDC and the state of NC recommendations for COVID-19 precautionary/safety measures. Please be aware that these requirements must be adhered to in order for requests to be considered. The health and safety of the Ambassadors is of the utmost importance.

Contact Natascha Tilson, Ambassador Coordinator at with any questions.
Name and Location of Event *
Date of Event *
Time of the Event *
Time of Arrival *
How long is the event? *
Is there an Admission Fee? *
Type of Dress Required? *
Will you serve alcohol at the event? *
Which Ambassador(s) are you inviting? *
In what capacity do you want them to participate in your event? Be specific. List Ambassador then explain how you want them to participate. Perform, Speak or Attend? *
Does your event require an overnight stay? If Yes, answer the next TWO questions. *
Will you cover travel expenses? Hotel, Per Diem, Gas, or other? *
If you are covering travel expenses, which ones? *
Please provide the name, physical address and phone number of event site(or hotel info if applicable) *
Contact Person *
Email Address *
Phone *
Are there any other important details about the event you want to share?
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