Switch Event Request
We would love to come and speak at your event! We ask that you allow at least 30 minutes for us to speak in order for us to cover the content we wish to include. Due to the nature of our scheduling process, we ask that you submit this request at least two weeks before your event.
Your Name *
Your answer
Phone Number *
Your answer
Email Address *
Your answer
Organization Name
Your answer
Date of Request *
MM
/
DD
/
YYYY
Time of Event *
Time
:
Address of Event Location *
Your answer
Are you requesting a specific speaker? If so, who?
Your answer
How long would you like us to speak?
Your answer
Which presentation would you like us to do?
If this is for an event, what type of event is it?
Your answer
How many people do you anticipate attending?
Your answer
How are you promoting this event?
Your answer
Can we post this event on our website as an option for other community members to attend?
To ensure our content is age appropriate, what is the age group of our audience?
What will be provided?
What would you like us to focus on?
Are you a faith-based organization?
Would you like us to bring our marketing items (tshirts, decals, bracelets, etc. - available with donation)?
What type of donation can you give? (We are a nonprofit organization, so we ask that some form of donations are made, if possible, during these events.)
Any additional information?
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of SWITCH. Report Abuse - Terms of Service