Please complete the form below to request for Coach Mike to be a part of your event. If you need help please call: 312-281-1471.
Event Date(s) of Interest
Middle SchoolHigh SchoolCollege/UniversityNon-Profit - ReligiousNon-Profit - Non-ReligiousCorporateEntrepreneur
Projected Budget for Securing Services *
$2.5K - 10K$10-20K$20-30K$30-40K$40-50K$50K Plus
Venue - Name of Facility
Venue Address/Location - Include the Closest Airport(s).
Purpose of Event
Event Time *
Topic Chosen for Presentation *
What time(s) do the session(s) begin and what are the requested duration(s)? *
Planned Number of People Attending
Under 500500-10001000-30003000-50005000 Plus
Event Attendee Demographics
Will This Event Be Open To The Public?
Will Tickets Be Sold For This Event? - Ticket sales must be approved by Coach Mike.
Do You Intend To Record Or Live Stream This Event?
Can Products Be Sold At This Event?
Event Contact Name
Event Contact Details
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