Invite April B.
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Contact Name
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Title of Event
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Event Date
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Expected Number of Attendees
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Event Description
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Event Website
What topic(s) do you want April B. to speak about?
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Length of time for April B. to speak (in minutes)
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What do you hope to achieve by April B. speaking?
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Event Timezone
Eastern Standard Time - EST
Central Standard Time - CST
Mountain Standard Time - MST
Pacific Standard Time - PST
Other
What is the speaker budget? (USD$)
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How did you learn about April B.?
What is the theme or focus of event?
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Please list date(s) & time(s) requesting April B.
Will there be a resource table available?
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Yes
No
Any additional information or requests
Number of speaking sessions requested?
Name
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City & State
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Untitled
Phone Number
*
Email
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Field of Work
What's the biggest challenge(s) you're faced with?
Which area(s) of coaching are you interested in?
How soon are you interested in beginning coaching?
Contact Position or Title
Event Type
Parent/Guardian First Name
Parent/Guardian Last Name
Student Name
Birthday
Month
/
Day
Student Age (month/date/year): ex 03/08/2008
Parent/Guardian Email
Parent/Guardian Phone Number
City & State
What is your Zip Code?
Name of school student is attending (if any)
Student Grade Level?
School or Organization
Untitled
What accommodations will be provided, if needed?
Airfare
Hotel
Meals
Transportation
Contact Position/Title
Parent/Guardian
Youth Pastor
Community Leader
Middle School Student
High School Student
College Student
Other
Communication Preferences. Select ALL that apply
YOUth Programming (C4 Camp, TRANSFORMed YOUth, Bold Girls, etc.)
Young Adult Programming
Shop
Missions
Mentorship
Ways to Partner
RESTore Ministry
All the above
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