Speaker/event request

Please fill out the form below to request a speaker or informational table from Osceola County Animal Services. Please note the following:
- requests must be received at least 30 days in advance;
- the event must be free to those attending;
- the event must have an audience of at least 20.
Organization contact information
Name of organization*
Organization address*
Contact first name*
Contact last name*
Contact phone*
Contact email*
Organization website or social media address
Proposed event information
Name of event
Location of event
First choice date and time
Alternate choice date and time
Requested date of event*
MM slash DD slash YYYY
Alternate date of event
MM slash DD slash YYYY
Requested time of event*

: Hours

Minutes

AM/PM
Alternate time of event

: Hours

Minutes

AM/PM
Event duration
Event venue will be*
Number of attendees expected*
Age of attendees*
Target audience*
The sponsoring organization will provide*
click any and all that apply
- table
- chairs
- power
- laptop
- projector
- tent
Please provide any additional information about your request: