BOOKING REQUEST FORM

BOOKING REQUEST
Thank you for your interest in booking Priscilla Berrios, MFT, ORDM. Please complete this form in it's entirety and a member of our team will contact you. Please be advised that due to high demands on her schedule, she cannot accept any pro-bono or significantly discounted opportunities at this time. Thank you for your consideration, and we look forward to contributing to your event!
Full Name*
Contact Number*
Email Address*
What is the name of the church or organization hosting this event?*
Organization Website*
Organization's Social Media Handle*
Organization's Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Which service are you interested in?*

40 -60 Minute SermonWorkshopPanelistPodcast/Instagram/Facebook/Radio/Television InterviewLead Worship
Are you requesting Priscilla for multiple sessions?*
What is the name of the event?*
What is the date of the event?*

MonthDayYear
Date
Hour MinutesAM/PM Option
Is the event date flexible?*
Where will this event be held?*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Details and Purpose of the Event*
Will a Spanish translator be required?*
Priscilla's first language is English.
Will a Spanish translator be provided?*
What is your Speaking Budget for this request? [MUST INPUT A DOLLAR AMOUNT]*
What accommodations will your team provide?*

Travel (Airfare)HotelMeals or Per DiemParkingNone of the above
Estimated Attendee Numbers*

Under 5050 - 100100 - 200200+
Event Attendee Demographics*
Will This Event Be Open To The Public?*
Will Tickets Be Sold For This Event?*
Do You Intend To Record Or Livestream this Event? *
Can Products Be Sold At This Event?*
Please share any other details or notes below.
Should be Empty: