Booking Request

Submission Instructions:
All () items must be answered in order for form to submit.
section 1 - required for all requests , section 2 - required for all requests
section 3 - speaking engagements section 4 - Interviews,
section 5 - SEMINARS, WORKSHOPS, trainings,
section 6 - book signings Section 7 - guest appearances
All requests are c/o LIONS vision Productions studios.

Access to LaTia's Press Kit Will Be Made after booking confirmation
All Bookings require Full payment at contract signing
Unless other arrangements have been established

step 1. - everyone completes sections 1 and 2
afterwards, select your service section

Step 2. Once you've completed your service section(S) skip to section 8.

Step 3. Complete section 8 and hit 'submit'.

SECTION 1 - Mandatory FOR ALL REQUESTS
all questions with (*) require a response.
The request will not process if those questions are not answered.

* Indicates required field

What entity are you representing? *

Is this a virtual or in-person event? *

Who is the audience for this event? *

Describe this request: *

What is your speakers/presenters honorarium or budget? *

SECTION 2 - mandatory for ALL REQUESTS
Please only complete the following applicable section(s) for your request.

1. Your Name: *

First

Last

2. Your role in this request: (Organizer, Producer, Business Owner, Event Planner, etc.) *

3. Phone Number: *

4. Fax Number: *

5. Email: *

6. Company Name: *

Address: Where the engagement will take place? *

Line 1

Line 2

City

State

Zip Code

Country

8. Company Website: *

9. Timeframe of this request: *

9B. If you have a specific date, please indicate. *

10. In what capacity would you like to book LaTia? *

10B. If more than one capacity, please type in selection(s). *

section 3 - Speaking Engagements only
If this request is not a speaking engagement skip to section 4

11. Select the forum that best describes this event. *

11B. What is the nature of the speaking engagement? Who is the audience? *

11C. Will LaTia be part of a panel? *

12. What is the topic for this event? *

13. In what capacity would you like LaTia to speak? *

14. Will LaTia be the only speaker? *

14B. If LaTia will NOT be the only speaker, we require that she speaks first, can this requirement be met? *

15. How long would you like LaTia to speak? *

16. Will LaTia be able to sell her book and/or "Worthy Women" merchandise? *

17. In person only - Will we have access to the venue at least 1 hour before event start? *

17B. In person only - If not, please indicate how much in advance will we have access to the venue to set up. *

18. In person only - Do you have complimentary speaker parking? *

19. In person only - Where exactly is the parking located? *

20. Were tickets sold for this event? *

section 4 - Interviews
If this request is not AN INTERVIEW REQUEST skip to section 5

21. What outlet is the media source? *

22. What is the name of the publication or show? *

23. Is this publication or show syndicated? *

24. Please select the interview format. *

25. Interview Location: *

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Line 2

City

State

Zip Code

Country

26. Describe your audience. *

27. Name of organization (person or platform) requesting the interview? *

28. What's the nature of the interview? *

29. What is the interviewers name? *

30. Has the interviewer read LaTia's book (Burdens in My Backpack)? *

section 5 - Seminars, trainings, workshops
If this is NOT a seminar, training or workshop request
skip to section 6

31. Past experience with the Worthy Women's UPward Institute Seminars. *

32. I would like: *

33. Which seminar/workshop topic would you like LaTia to produce? *

33B. How long would LaTia have to present her seminar/workshop? *

34. Is the venue equipped with presentation equipment? (Screen, Projector and/or streaming capabilities?) *

34B. If there's any technology that you DO NOT provide, please let us know. (I.E. wifi, projector etc.) *

35. Tell us about the participants. Describe the audience; sex, age, demographics, etc. *

36. How many participants are confirmed? *

37. Did you charge for attendance? *

38. Each guest in attendance will need to sign a Release. Will you be able to distribute those before the event or will we have to distribute? *

39. Will LaTia be able to sell merchandise (i.e. her book, Worthy Women T-Shirts, etc.)? *

40. What do you want to accomplish with this seminar? What do you want you audience to take away? *

41. Is this a one time event or on-going? (annual, monthly, etc.) *

42. How many sessions / days do you want to book LaTia? *

section 6 - book signings
to comple your request go to section 8, complete and submit.

43. Please describe your affiliation. *

44. Is this an appearance or book signing? If its an appearance request, skip to question #50. *

44. Is this book signing part of a larger event? *

45. Please select the option that best describes your request. *

46. How many people are expected to attend? *

47. What is the demographics of the audience? *

48. How does LaTia's story relate you your event? *

49. Specifically, what point or message do you want LaTia to reinforce? *

section 7 - complete only for appearances

50. Where would you like LaTia do do an appearance? *

51. What is the nature of this event? (What's the purpose?) *

52. Why would you like LaTia to do an appearance? How do you think she connects to the event? *

53. Is this a free event or ticketed event? *

54. How long are you requesting her appearance? *

55. What is your goal for LaTia's appearance? *

section 8 - required completion for all requests.

56. Is there anything else that you need us to know in considering this request? *

57. Please describe the next steps that you would like us to complete to finalize this request. (i.e. invoice, contract, waivers, program outline etc.) PLEASE INCLUDE TARGET DATES. *

58. What is the best way to contact you? *

if we require any additional information, we will reach out to you.

Submit

mslatia booking request

SECTION 1 - Mandatory FOR ALL REQUESTSall questions with (*) require a response. The request will not process if those questions are not answered.

SECTION 2 - mandatory for ALL REQUESTSPlease only complete the following applicable section(s) for your request.

section 3 - Speaking Engagements onlyIf this request is not a speaking engagement skip to section 4

section 4 - InterviewsIf this request is not AN INTERVIEW REQUEST skip to section 5

section 5 - Seminars, trainings, workshops ​If this is NOT a seminar, training or workshop request​skip to section 6

section 6 - book signings to comple your request go to section 8, complete and submit.