2022 Ambassadors Appearance Request
Please fill out the form completely.  Incomplete requests will not be accepted. LRDA complies 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 for requests to be considered.  The health and safety of the Ambassadors are of the utmost importance.  All correspondence regarding appearance requests, alterations to event details, etc. MUST be directed to the Ambassador Coordinator, not the Ambassadors.  

Contact Natascha Tilson, Ambassador Coordinator at ntilson@lumbee.org or call 522-2123 or 910-618-7636 with any questions.  

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Name of the Event (also list school or business name) *
Physical Address of the event (Needed for GPS directions to the event location). *
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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