Free The Children Youth Ambassadors for Peace Volunteer Now!
 

 

 
 
 
Sponsoring Organization:
Contact Name:
 
Phone Number:
Fax Number:
E-Mail Address:
Web Site:
   
Address:
City:
Province/State:
Country:
Postal/Zip Code:
   
Preferred Name of Speaker, if known:
Location of Event:
Date of Event:
Is date firmly booked? Or is date tentative/flexible?:
Time of Event:
Is time firmly scheduled? Or is time tentative/flexible?:
What time does the speaker have to be at the event and ready to speak?
Nature of Event:
Theme/Topic to be Addressed:
Topics the speaker should avoid:
   
Are there any other responsibilities whatsoever for the speaker, if so, please specify:
Name and title of personal introducting the speaker (if known):
   
Do you require advanced publicity materials? (Such as Bio)


Is there an agenda for the event?
If so, can you send us one?
   
Audience:  
   
Type:





   
Size of Audience:
   
If young people are the target audience, please provide the following:  
Student Age:
Student Grade:
Venue Size/Format:
   
Speaker Attire:




   
Length of Speech:
   
Financial:  
   
Proposed Honorarium:
   

Notes:

  1. Completing this form does not necessarily mean that this speaking request will be fulfilled.
  2. Depending on the nature of the event, a representative will specify whether the payment should be made to Free the Children or Leaders Today.

Once a formal agreement has been reached, the following is understood:

  1. All payments for speaking honorarium can be collected before or on the day of the event; however, all final payments must be received within a 30 day period after the speech has been performed.
  2. The sponsor is responsible for paying an agreed upon honorarium and all relevant travel costs to and from the event, including, but not limited to taxi travel to and from airport locations (if applicable), reasonable meal expenses, hotel expenses (if applicable), economy round-trip airfare (if applicable), and mileage at $.40 a km (if applicable).
  3. If air travel is to be used, Air Canada or a Star Alliance partner will be chosen as the applicable airline.
  4. Travel related payments are due 15 days after being invoiced by Free the Children or Leaders Today.
  5. If for any reason, beyond the control of Free the Children or Leaders Today, the speaker is delayed or cannot appear, Free the Children or Leaders Today will make a great effort to notify the sponsor and arrange for a substitute speaker of equal caliber. If a change of date or substitution cannot be agreed upon, the agreement will be cancelled without any further obligation or liability on either party.
  6. Once an agreement is reached, if the sponsor cancels this agreement prior to the engagement, one half of the agreed upon honorarium is to be paid to Free the Children or Leaders Today.
  7. Any change of date by the sponsor will be deemed a cancellation unless agreed upon by Free the Children or Leaders Today.
  8. No speech or performance will be broadcast, reproduced or recorded in any form without specific agreement with Free the Children or Leaders Today.
  9. The sponsor waives any and all rights and courses of action against Free the Children and/or Leaders Today, the speaker or his/her agents and agrees that no action, regardless of form, arising out of the performance contemplated by this agreement, shall be brought against Free the Children and/or Leaders Today, the speaker or his/her agents.
  10. This agreement shall be governed by the laws of the Province of Ontario in the country of Canada.
 
Title:
Date:
 

Please Note:
If/ when an agreement is reached, please note that the following materials are needed for the speech/ workshop:
 
  • LCD Projector.
  • White screen.
  • Sound system to be hooked up to lab top.
  • Clip-on mike if possible.