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Speaker Request Form: U.S. Center for SafeSport
Thank you for your interest in having a speaker from the U.S. Center for SafeSport. Please complete this form to request a speaker or presentation at your event. Our team will review your request and respond to the contact information provided below.
This form is for IN-PERSON TRAINING ONLY. To learn more about online training, go to
https://uscenterforsafesport.org/training-and-education
.
If you have additional questions, please contact
training@safesport.org
. Thank you!
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Date of Event for Requested Speaker
MM
/
DD
/
YYYY
Organization Name
Your answer
Contact Name
*
Your answer
Contact Email Address
*
Your answer
Contact Phone Number
*
Your answer
Name of the Event
Your answer
Event Location
Your answer
Event Audience (I.e. coaches, administrators, parents, athletes, etc. Also, if this is a youth event, please specify the ages of youth in attendance.)
Your answer
Event Size (how many people will be in attendance?)
Your answer
Length of Requested Presentation(s)
Your answer
What are your goals for the event? What information would you like the Center to cover?
*
Your answer
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