High School Date Request Form
We are excited to get dates scheduled for your program.
Please share the details below and we will be in touch soon.
Main Contact Information
First Name *
Last Name *
Email *
Phone Number *
School Name *
Position *
Workshop Requests
Reminder of the standard program set-up:
Day One: 3 hour student leader training
Days Two - Five: 6 hour workshops
Please share 3 upcoming weeks that will work with your campus calendar.
Workshops *
Please select one
Training + 2 workshop days (minimum) - 3 days total
Training + 3 workshop days - 4 days total
Training + 4 workshop days - 5 days total
Preferred week #1 *
Preferred week #2 *
Preferred week #3
Additional Information
Once we confirm a program week, our team will send over a contract and invoice to reserve the dates. Please share a few more details for the contract process.
Alternate contact person *
Alternative contact phone number *
Alternative contact email *
Name of person to sign contract *
Signer email address *
Who should get the logistics for the program *
Do you need a price breakdown before the contract is sent? *
Please select one
YES
NO
Additional comments
If you have any questions while completing the form, please email Kristin@ignite2unite.com.
Once you hit submit, our team will follow-up to confirm what dates are available and the next steps for payment and logistics.
We will be in touch shortly!
Submit