Camp Speaker Form

Name*

First NameLast Name
What topic would you like to speak on?*

LeadershipSelf-CareFinancial LiteracyTeam BuildingHealth and BeautyOther
If you picked OTHER to the above question please state your topic here
Phone Number*
E-mail*
example@example.com
What day do you wish to speak?*

MondayTuesdayWednesdayThursdayFriday
What time of day do you which to speak?*

Morning 9am-1pmAfternoon 1-6pm
What do you need to speak?
What age group would you like to take with?*

Middle School GirlsHigh School GirlsAll
Briefly tell why you enjoy working with teenage girls*
Occupation*
Do you have a background check?*

YesNo
By signing below you understand this is a VOLUNTEER opportunity and no compensation will be given to speakers by Aim 2 B Positive LLC or Tracey Wyatt Recreation Center. By signing below you also agree to pictures and videos being taken during your presentation. You also agree to not comprise the integrity of the organization. *

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