Gang Awareness Presentation Request

Gang Awareness Presentation Request Form
Address of Presentation:
Address of Presentation:
Time of Presentation:

*PLEASE NOTE: Presentations can only be scheduled on Fridays. 

Your Name:
Your Name:

As the requesting organization, I hereby submit this form indicating our interest in hosting a presentation. I acknowledge that this information will then be distributed to the Speakers Bureau of the Gang Task Force. If the Gang Task Force can accommodate my request, I will be notified at the contact information provided. A mutually agreeable date and time will then be confirmed.

Acceptance of Terms:

Upon completion of this form, press submit, which verifies your understanding, agreement and compliance with all guidelines established herein.