Booking | Whole Heals LLC

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Speaking Events
Trauma-Informed Training
Leadership Training
Organizational Audit
Leadership Training
Organizational Audit
Media Access

CONTACT INFORMATION

Full Name*

Title / role*

Email Address*

Phone Number*

Organization / Company Name*

EVENT DETAILS

Event Name / Theme*

Time of Event*

Time

:HoursMinutes

Date picker*

Estimated Audience Size*

Event Location (City, State & Zip Code)*

Length of Session*

Audience Type (corporate, university, nonprofit, general public, etc.)*

SESSION INTEREST

Preferred Speaking Topic(s) *

From Hole to Whole

Survivor to CEO

Healing in the Workplace

From Client to Collaborator (with Kevin Woods)

Own Your Sh!t

Trauma Responses & Behaviors

The Power of Community

Event Format (keynote, panel, fireside chat, workshop, etc.)*

EVENT LOGISTICS

Honorarium / Speaker Budget (if known)*

AV Setup or Technical Needs*

Will books be available for signing?*

Yes

No

Are you interested in a custom workshop or training add-on?*

Yes

No

How did you hear about Amber / Whole Heals?*

Additional Notes or Requests*

SUBMISSION

I acknowledge that this form is for inquiry only and does not confirm a booking. (Please put your full name in the box below.)

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