Pre-Event Questionnaire

Kashina's Signature Talks

1. Adversity to Opportunity: Transforming challenges into building blocks for success.

2. Living on the Edge: Pushing boundaries and becoming uncomfortable to achieve growth.

3. Purpose Reimagined: Rediscovering and realigning with your true passions and ambitions.

4. My Voice, My Weapon: The strength and impact of speaking for change.

5. Living The Restored Life: Discovering healing, renewal, and joy after trauma
Kashina's Booking Form

Thank you for your interest in having Kashina speak at your event. Because your event is important to us, we ask that you complete the form below so we will be better able to serve you and your audience.
Name of Event Organizer/Organization*
E-mail Address*
Phone*

Area CodePhone Number
How Did You Hear About Kashina*

FacebookInstagramLinkedInReferralNetworking Group/EventGoogleOther
Is Your Event Virtual/in Person?*
Theme/Purpose of Event*
Which Segment(s) Will Kashina be Needed For?*

KeynoteBreakout SessionWorkshopOther
Event Location Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Expected Number of Attendees*
Description of Audience*
(e.g., teachers, parents, women’s/youth group, etc.)
Date and Time of Event*

MonthDayYearHourMinutesAM/PM Option
Presentation Length*
(How much time will Kashina have to present)
Speaker Budget*
(Please provide value in USD)
Deposit Amount
Will Kashina Be Required to Fly for This Event? (Please note that if Kashina is required to fly to the event, her travel expenses will be covered by host).*

YesNo
Name of Local Airport (If the event requires flight)
Is Kashina Allowed to Market Her Products/Services Following The Presentation?*

Oh yeah!!!Nah, but thanks anyway
Is Kashina Allowed to Bring in a Third Party to Record Her Presentation For Demo Video Purposes?*

Oh yeah!!!Nah, we have a media team but thanks anyway
Is Kashina (and at least one assistant) Invited to Eat with Your Group or Should We Make Other Meal Arrangements?*

Yes, please join us!We are so disappointed we are not able to host your meal, sorry.No meal. Not applicable.
If You Have an Educational/Gift Budget, Would You Like to Explore the Option of Gifting Any of Kashina's Products to Attendees?*

Yes, tell me more.Mmm... no thanks!
Please upload a flyer of your event if available

Browse Files

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Terms and Conditions
- Please be prepared to cover travel expenses for events more than 50 miles away from Kashina's location
- Please be aware that Kashina typically travels with at least one member of her team
- Please be aware that a 50% deposit is required to secure ALL bookings, with the remainder to be paid at least one week prior to the event.
- All bookings will remain unconfirmed until the required deposit is made and written confirmation is provided. Please refrain from advertising appearance prior to confirmation.
Please Agree and Accept*

I agree with the terms and conditions
Please verify that you are human.*
Thank you!

Thank you again for your interest in having Kashina speak at your event. A member of our team will follow up with you within 24 hours to discuss your event in further detail. You may contact our administration team at support@restoredlifeacademy.com for further assistance.
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Kashina's Signature Talks

Kashina's Booking Form

Thank you!