What is your role?*
School Name (full)*
Country*
State / Province*
Address*
City*
*
*
*
*
*
*
Email*
School Email*
Phone Number*
I do not wish to receive future email updates.
  • Do Not Email
Program Name (if different than School or organizational name)
When do you want to book an Out in Schools presentation(s)? Please indicate ideal time frame or month/day.*
How many students attending?*
Select the grade(s) that will attend the presentation. Check all that apply.*
  • 7
  • 8
  • 9
  • 10
  • 11
  • 12
  • Mixed
Additional booking notes.

Payment Information

Once the booking has been confirmed, we will be in touch to discuss payment options.  Please see Our Fee information above.