Speakers Bureau Request Form

The Youth Speakers Bureau connects you with passionate youth who are trained by Free The Children to give inspiring and motivational speeches. Bring your classroom, youth group or conference the power of speaking out to help others. Submit a completed copy of the form below to make an official speaker request.* Feel free to contact us at youth@freethechildren.com with any questions.

*Free The Children cannot guarantee a speaker will be available for each request. In our diligent efforts to keep administrative costs below 9%, we do ask for an honorarium in addition to transportation costs.

Sponsoring Organization :
Nature of event :
Topic to be addressed:
	Other topic:

Date of event :
Location of event:
Time of event :
Audience Type :
Audience Size :
Audience Grade Level:

School/Association Name:
Contact Name:
Street Address:
City:
Province/State:
Postal/ZIP Code:
Country:

E-mail:
Tel:	ext:
Fax:

Proposed Honorarium:

Speakers Bureau Request Form

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