Speaker Request for Kin Event
If possible, please give us no less than two weeks lead-time in requesting any speaker.
Name
*
First Name
Last Name
Your Kin Club
E-mail
*
example@example.com
Phone Number
*
Description of event?
*
Event Location?
*
Date & Time of Event?
*
Online or In-Person?
*
Event Duration/ ex: 30 minutes, 45 minutes ?
Type of speaker required?
*
Approximate size of audience?
*
List of others attending speakers (medical, parent, etc.)?
Is there a preference in topics presented?
Indication of any preferred speakers?
Other info to note?
Questions? Send us an email!
Submit Form
Should be Empty: