CAP2U Speaking Tour Form

CAP2U Speaking Tours in School or at Home!

Jeff Woytovich, CAP's founder will travel to speak at your child's school. His visit will include an engaging introduction to his video presentation about his own personal experience raising a child with alopecia, the Children's Alopecia Project, acceptance and building self-esteem. He will also deliver a bag of books about alopecia and being different to your child who can then donate them to their school library. Jeff is looking forward to speaking at schools in-person; however, if that is not possible at your child's school, he can provide the school with a digital link to his talk. Live video chats with Jeff can also be scheduled in conjunction with his virtual presentation. Or, if you prefer, Jeff can visit your child at home. Please fill out the form below with your request for a CAP2U Speaking Tour.
Parent/Guardian Name *

First Name Last Name
Phone Number *

Area Code Phone Number
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Email *
example@example.com
CAP Kid name *
CAP Kid age *
Please choose your georgraphical location: *

Northeast: Pennsylvania, New York, New Jersey, Connecticut and Massachusetts: 11/26-12/1/22 and 12/5-12/9/22 Southeast: Maryland, Virginia, North and South Carolina, Georgia, Florida, Eastern Tennesse and Eastern Kenturcky 2/20-2/23/2023 and 2/27-3/3/2023 South: Texas, Arkansas, Louisiana, Mississsippi, Alabama, Tennessee, Kenturcky, West Virgiana 3/13-3/16/2023 and 3/20-3/24/2023 Pacific Northwest: Washington State, Oregon, Northern California, Idaho, Montana, Wyoming and Minnesota 4/24-4/27/2023 and 5/1-5/4/2023 Midwest: Michigan, Illinois, Indiana and Ohio 5/8-5/11/2023 Other: location not provided above, but just in case Jeff can visit on the way to or from the above locations
***Jeff will be traveling to the Great Plains (Colorado, Northern New Mexico, Kansas, Nebraska, Oklahoma and Iowa) and West Coast/Southwest (California, Arizona, Utah and Nevada) in the Fall of 2023. We will update this form for those locations at a future time.
***If there is an emergent need for a visit, please email Karen, Office Administrator knjozwiak@gmail.com Jeff is always willing to try to make adjustments to his schedule for any child in need.
CAP Kid's grade: *
Name of CAP Kid's school: *
School Address: *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Have you received school approval for this program? *

Yes, all approved. I just need to provide the school with a date and time. Working on it No, the visit will be at my home.
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CAP2U Speaking Tours in School or at Home!