Virtual And In-Person Presentation Requests

Name of Organization *

Location of event/presentation (if online, please write "virtual" below) *

Contact Name *

First

Last

Phone Number

What email address can we reach you at? *

What date would you like to book Dr Vanessa to speak to your audience? *

(if speak a

What topic(s) are you considering for this presentation? *

Who will be in your audience? (i.e. parents, care providers, teachers, Early Childhood Educators, etc) *

Approximately how many people are you expecting at this event? *

Are you planning for an in-person or virtual event?

In-Person
Virtual
Not sure

(In-Person) If you are considering an in-person event, do you have a venue in mind?

Yes
No

Are you working within a budget? Please explain below

(In-person) Does this venue have the capability to have a projector connected to a Macbook laptop, a mic or amplified audio system (if necessary), and a table/podium for a laptop to sit on?

Yes
No

(Virtual) Who will be the panelist from your organization that will introduce Dr Vanessa at the beginning of the virtual presentation? Please leave name and email below:

At many of her presentations, Dr Vanessa will sell her books at the venue. Are you able to provide a table and a volunteer to facilitate book sales?

Yes
No

Do you have any questions for Dr Vanessa's team? Leave them below: