Application To Request a Speaker

Note: To help us plan effectively and ensure the best experience possible, please submit your request at least six–eight weeks before your event date. This allows our team time to review, coordinate internally, and determine how we can best support your event.

Contact Information

Event Details

Parking Details

Additional Information

Any additional information for your Parkland speaker request:

Is there a vendor/participation fee?

Yes
No

If yes, please list the amount:

How is this event being promoted?

Social Media
Friend/Word of Mouth
Newsletters/Email Blast
Flyers/Posters
Internal Communication
Radio
TV

Please upload any files (PDFs, Word) relating to your event (Flyers, poster, letters, etc.)

* Would you like to receive news and updates about Parkland by email?

Yes

No

* Please enter the letters you see below