Speaker & Teacher Engagement
Name
First Name
Last Name
Organization / Affiliation
Email
example@example.com
Phone Number
Please enter a valid phone number.
Website or Social Media Handle
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Event / Engagement Details
Type of Engagement
Teaching/ Workshop
Public Speaking / Keynote
Panel Discussion
Guest Appearance
Other
Title or Theme of Event
Event Date (s) and time (s)
Location
Include whether it’s virtual, in-person, or hybrid
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Audience Details
Expected Audience Size
Audience Type
Youth/ Students
Adults
Spiritual Community
Educators
General Public
Other (Please Specify)
Compensation & Budget
Is there a budget or honorarium available for this engagement?
Yes
No
If yes, please specify the amount or range:
Additional Information
Describe the purpose of the event and what you are hoping I bring to it:
Are there any special request or topics you’d like covered?
How did you hear about me / House of Obatala?
Please Select
Instagram
Website
Word of Mouth
Event/ Workshop
Other : (Please specify)
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