Ms. Neda Renee's Engagement Inquiry Form

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Please complete this inquiry form to begin the steps toward booking Ms. Neda Renee for your upcoming engagement. Please complete all of the sections. My team will get back to you within 48 hours with clarifying questions and next steps.

If you need to get in contact with Ms. Neda Renee sooner, you can reach her assistant, Ms. Iyonna (pronounced EYE-yawn-a) at advancedassisting1@gmail.com.

Email *

Contact's Name and Organization *

Contacts Title *

Contacts Number *

Engagement Title *

Engagement City and State *

Engagement Date *

YYYY

Start Time *

Time

End Time *

Time

Engagement Type (Please check all that apply) *

Mistress of Ceremonies

Keynote Address

Guest Speaker or Panelist

Middle Schooler Self-Mastery Workshop: 45 - 90 min (max of 12 participants)

Middle Schooler Self-Mastery Series of 3 Workshops: 45 - 90 min (max of 12 participants)

High Schooler Self-Mastery Workshop: 45 - 90 min (max of 12 participants)

High Schooler Self-Mastery Series of 3 Workshops: 45 - 90 min (max of 12 participants)

College Scholars Self-Mastery Workshop: 45 - 90 min (max of 12 participants)

School Assembly

Would like to discuss number of participants

Required

What is the reason behind the engagement? *

Is there any conflict, crisis, or celebration that has led you to seek Neda Kellogg as an external resource? *

What are the overall demographics of the organization and the participants? *

Are there any participant accessibility needs that we should take into account? *

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