Booking Form - Dr Kristy Goodwin

Speaking Engagements –Let’s Start The Conversation
To allow my team to respond to your inquiry please complete the form below:
Name
Email
Phone
Do you wish to:*
- Engage Dr. Kristy to speak for your School
- Provide a free space for Dr. Kristy to hold her own event
You've indicated that you have a free space for Dr. Kristy to run her own event at in conjunction with your group/organisation. In order for this event to be a success, we require your group to have a database of min 500 people, and seating available for min 200.

Please tell us about the space you have available for Dr. Kristy to use:
How many people can you seat?
Do you have a database / customer list / mailing list you will promote this event to? How many contacts are on it?
Type of event*
Select the option if you know what topic you're after (if you're unsure Kristy and hear team can help you identify the best talk option for your event and audience via a brief call).
PARENTS
Select the topic(s) you are interested in for your event.
PROFESSIONAL KEYNOTES
Select the topic(s) you are interested in for your event.
PROFESSIONAL LEARNING SEMINARS
Select the topic(s) you are interested in for your event.
STUDENT WORKSHOPS
Select the topic(s) you are interested in for your event.
CORPORATE EVENTS
Select the topic(s) you are interested in for your event.
Approximate number of attendees

About us (1-2 sentences about your organisation)
Tell us about your event / what are you looking for?
(proposed date, location, audience size, nature of audience if these details are available)
Preferred date of event:
MM slash DD slash YYYY
Comments
Referred by:

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