CIRENE PREACHES AND TEACHES WORKSHOPS AT EVENTS YEAR-ROUND.

Thank you for considering Cirene for your event. As a next step, please fill out the form below, and we will get back to you as quickly as possible.

Speaking Request Form

Name

First Name

Last Name

Phone

(###)

###

####

Name of Organization/Company

Website

Type of Request

Is this a live or digital event?

Live

Digital

Event Location

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Event Date

YYYY

Event Start Time

Hour

Minute

Second

Event End Time

Hour

Minute

Second

Name of Event (Theme)

Estimated Audience Size

Speaker Budget

Will Cirene speak at multiple sessions?

Yes

TBD

Total Speaking Time:

Will a Breath of Life resource table be allowed at the event?

How did you hear about Cirene?

Any additional information you would like to provide or questions you may have?

The event will be in:

English

Spanish

Bilingual