Speaking & Workshops – Booking Form

Full Name *

Email *

Phone *

Organisation / School / Business Name *

Organisation / School / Business Name

Website or Social Page (optional)

Event Details

Other (please specify)

Which topic are you enquiring about? *

Understanding Grooming Patterns

Grooming Awareness for Parents and Teachers

Turning Lived Experience into Impact

Custom session (please describe)

Event date *

Event date (if more than one date)

Event time(s) - Please add time zone *

Is this flexible? *

Yes

Is this flexible?

Location / Venue *

In-person

Online

Hybrid

Address (if relevant)

Location / Venue

How many do you expect will attend? *

How many do you expect will attend?

Purpose & Requirements

What is the primary goal for this session? *

What is the primary goal for this session?

Technical requirements available *

Microphone

Screen / projector

Speakers

Reliable Wi-Fi

Technical requirements available

Recording allowed? *

Yes

Recording allowed?

Budget & Fees

Is there a budget allocated for this booking? *

Yes

Unsure

If yes, please provide the approximate range

Accessibility, Safety & Sensitivity

Are there any sensitive considerations I should be aware of? *

Yes

(Trauma considerations, age groups, cultural needs, safeguarding context)

Is this a child-protection or DV-related environment requiring approval or screening? *

Yes

Unsure

Anything else you would like me to know?

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