Appearance Request Form
Would you like our Youth Ambassador to attend your event? Please complete below and our Youth Ambassador Chair will contact you with next steps.
Event Name *
Your answer
Event Date *
MM
/
DD
/
YYYY
Event Start Time *
Time
:
Event End Time *
Time
:
Event Venue *
Your answer
Location of Event *
Your answer
Description of Event *
Your answer
Event Contact Person Name, Phone Number and Email *
Your answer
What will our Youth Ambassador be expected to do at your event? *
Your answer
Will our Youth Ambassador have an opportunity to address the audience? *
Youth Ambassador to Attend?
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