Let’s work together.

Thank you for your interest in my expressive arts facilitation services. Please fill out the following form to help me better understand your organization’s needs. Once you submit this form, I will review the details and get back to you as soon as possible to discuss the next steps and confirm availability. Thank you for considering my expressive arts facilitation services for your organization!

Your Name

First Name

Last Name

Phone

(###)

###

####

Organization Name

Contact Person (If it's not you)

Organization Website (if applicable)

http://

Type of Event/Talk

team-building workshop, conference talk, wellness retreat, etc.

Event Date/Times

Event Location

City, Venue, Online etc.

Expected Number of Participants

What is the main goal or objective of this event?

Please describe the demographic or background of the participants::

Women's group, college students, healthcare providers etc.

What specific topics or themes would you like to focus on during the event/talk?

Is there a specific format or structure you have in mind for the event/talk?

Are there any materials or resources you will provide?

Art supplies, informational packets etc.

Will there be any AV equipment available (e.g., projector, microphone)?

Is there parking available on site?

How much time do you have available for this event?

30 mins, 2 hours etc.

What is your budget range for this event/talk?

Are there any specific budget constraints or considerations?

How did you hear about my services?

Is there any other information you would like to share or discuss?