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Request to Book Keynote

This isn’t just another mental health presentation—this is tactical, raw, and built for crews who need real tools before the job breaks them.

Fill out the request below. I’ll personally review every submission, and we’ll connect if it’s a fit.

Full Name

Email

Phone Number

City and State

Department or Organization

Role at Department or Organization

Which talk are you most interested in?

Which talk are you most interested in?
A
B

Ideal Date(s) or Timeframe

Expected Audience Size

Expected Audience Size
A
B
C
D

Do you already have budget approval?

I will never let price be the reason you don't bring this talk to your department.
Do you already have budget approval?
A
B
C

Anything else I should know?