David's Legacy Foundation - Presentation Request
Email address *
Contact Name *
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Contact Phone Number *
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School Name(s) *
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School District *
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Physical Address for Presentation - including room (ex. Auditorium) *
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Zip Code *
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Student Presentation - 35-40 minutes (check all that apply) *
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Adult Presentation 40-45 minutes (check all that apply) *
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Number of attendees *
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Date (option 1) *
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Time (option 1) *
Time
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Date and time (option 2) *
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Time (option 2) *
Time
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Reason for presentation request (this data helps us understand your presentation needs) *
Does your campus currently have an anti-bullying program and/or club? *
What outcome(s) would you like to see after hearing the David's Legacy Foundation presentation? (check all that apply) *
Required
Have you reviewed the David's Legacy Foundation Presentation Flyer? (If not, we will email one to you) *
Is your campus or organization able to fulfill the financial obligation for this presentation (presentation fee and travel costs)? *
A copy of your responses will be emailed to the address you provided.
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