Name of School or Organization
First Name:
Last Name:
Title/Position:
Phone:
Email:
I’m interested in:
Workshop:
Assembly:
Keynote:
You Speak Now Academy:
Date or Dates of the event: (List five dates for YSN Academy)
Address of the event:
Target Audience:
Tell us about the event:
Note: YSN Program Fees: Workshop, Assembly, Keynote ($1,500) – You Speak Now Academy ($5,000)If the original YSN Program fees are outside your budget, Coach Jason is always willing to work within a School or Organization’s budget.
What’s in your budget for the YSN Program you are seeking?
