Booking Form

Organization/Church

Contact Person

Address

City

Postal Code

Phone

Email

Website

event details

Purpose of event:

Theme of event (if chosen):

Date(s) of event:

Location:

Number of sessions:

Length of sessions (i.e., 45 minutes):

Time of sessions (i.e., 7 pm):

Expectations:

audience details

Average age:

Expected size of group:

Indigenous/Non-indigenous Ratio:

other

Travel and other costs covered?
YesNo

Meals and accommodation covered?*
YesNo

Are you able to provide a table for book/CD sales?
YesNo

Are you able to provide a volunteer to assist with book sales?
YesNo

RSVP by:

Before Cheryl can speak there must be proper Indigenous protocol. There must be a welcome by an Elder from the traditional territory which the event is being held. The Elder must be given $100 for honorarium and travel costs, and also a blanket.
I acknowledge and accept