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Save the Kids Speaker Form
Welcome to Save the Kids! If you would like to have a speaker come to your school or event, please fill out the form below with as much detail as possible. We will connect with you ASAP!
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* Indicates required question
First and Last Name
*
Your answer
Phone Number or Email Address
*
Your answer
How did You Hear about Save the Kids?
Your answer
Type of Organization
*
Choose
Elementary School
Middle/Jr. High School
High School
Religious
Business
Other
Desired Type of Event (Check all that Apply)
*
School Assembly
Parent Night
Family Night
Fireside (Religious Component Added)
Virtual (Via Zoom)
Other:
Required
Event Location (City, State)
*
Your answer
Top 3 Desired Dates of Events (MM/DD/YY; Separate with a Semicolon)
*
Your answer
Please Check ALL APPLICABLE Areas of Concern for Your Organization
*
General Screen Safety for Kids
General Screen Safety for Parents
Screen Addiction
Pornography
Social Media Safety
Social Media Addiction
Comparison
Bullying
Developing Relationships
Other:
Required
With as much Detail as You are Comfortable Sharing, Please Explain Your Top 3 Concerns
*
Your answer
Any other Details You'd like Us to Know for Your Event
Your answer
Submit
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