Coach Kesha Booking Request Form
I am seeking LaKesha for:
Business
Ministry (allowed to use Jesus, God and make Biblical References)
Motivational (not allowed to use Jesus, God or make biblical references)
In the capacity of:
Feature/Keynote Speaker
Author Appearance or Book Signing
Event Panelist
Event Host
Class/Session Facilitator
Stand-Up Comedy
Other
Type of Event:
Proposed Date of Event:
Is this a Multi-Day Event?
Yes
No
Undecided
If yes, please indicate dates:
Proposed Time(s):
Brief details of the Event: (i.e. goals, expectation, etc.)
Deadline for Confirmation:
Hosting Organization/Church:
Hosting Organization/Church Website:
Venue Name and Address:
Closest Airport? (if known or applicable)
Venue Seating Capacity? (if known)
Special Luncheons or Other Events where LaKesha’s attendance is required or requested: (if any)
Event Theme or Vision?
What do you desire LaKesha to speak about?
Expected Attendance?
Other invited Speakers or Ministers?
Will there be media involvement?
Yes
No
Undecided
Other
Will the event be streamed live via the Internet: (check one)
Yes
No
Undecided
Point of Contact Information
Name
First Name
Last Name
Email
example@example.com
Phone Number
-
Area Code
Phone Number
Submit
Should be Empty: