• Dr. Brandi- Engagement Request Form

    Use this form to request Dr. Brandi for speaking and consulting engagements, podcast and media appearances and more. Visit www.DoctorBrandi.com for more information. A member of her team will follow-up with you as soon as possible. Thank you!

  • Request Reminders

    FOR PAID ENGAGEMENT REQUESTS (The following terms are not applicable for media appearances, podcasts, guest judging etc.)

    A 50% non-refundable deposit may be required to confirm the commencement of your engagement. For in-person engagements, travel arrangements including, but not limited to, airfare, Amtrak Business Class, car rental, or ground car service may be requested depending on the nature of the event.

    Completing this form does not enter you into an agreement. This is simply the first step in the booking process.

  • Format: (000) 000-0000.
  • What best describes your organization?*
  • Engagement Type*
  • What type of engagement are you requesting?*
  • Is this a Paid or Ticketed event? (Are your attendees paying to attend this event?)*
  • Flight and Accommodations Included?*

  • Event Logistics

    We understand that your event may still be in the planning phases and some of the details below may change as your event gets closer. Do your best to provide the most accurate information possible. Thank you!
  • Event Date & Time (EST Time Zone Only)*
     - -
  • When would you like Dr. Brandi to speak? (EST Time Zone)*
     - -
  • Will you require technical rehearsals?*
  • Date and Time of Technical Rehearsals*
     - -
  • Will this event/session be recorded?*
  • Where will the recording be stored after the event?*
  • When do you need Dr. Brandi's bio and headshot submitted?
     - -
  • Should be Empty: