Please tell us about this opportunity Please enable JavaScript in your browser to complete this form.Name *FirstLastBusiness / OrganizationEmail *PhoneName of your event:Website:Links to any Social Profiles (Instagram, Facebook, Twitter, etc.)Please share the format of opportunity:Virtual InterviewLive Speaking EngagementKeynote SpeakingOnline SummitWebinar/WorkshopOtherWho is the audience?StudentsParentsTeachersOther (please specify below if selected)If you selected 'Other' please specify belowApproximately how many attendees are you expecting? 50 to 100100+1k +5k+Please share a bit about your audience/demographic:Briefly describe the focus or goal of your event/publication:Which presentation are you interested in?Online Safety Kids, Action Plan for Parents7 Ways to Teach Body Safety, Boundaries and ConsentCreating A Safety Network, A Complete How To For Effective Community SupportSafer Schools, Learning Pods & DayCaresSupporting Survivors Post DisclosureOtherIf you selected 'Other' please specify below.Do you have any specifics you'd like to make sure the workshop/webinar to covers?Please specify requested Date/Time for event.DateTimeIf applicable, what would be required on our end? (Sharing on our social platforms, promotion, cost, etc.)Is this a paid engagement? If so, what is your speaker fee budget?Please share any further details about you and this event:Submit
