WYOMING FIRST LADY'S INITIATIVE TO

REDUCE CHILDHOOD DRINKING

 

Request for First Lady Appearance/Presentation

Thank you for your efforts to help educate and raise awareness about the issues and concerns of underage drinking that we face in our state. It is a public health concern and a major challenge – but we can make a difference by working together.

Due to the large number of requests to have First Lady Freudenthal appear or present, as well as scheduling conflicts with other commitments, not all requests received can be accommodated. Please be sure to note alternative dates for consideration. Also, please be aware that the First Lady has a select group of individuals who are knowledgeable about the issues and who are available to present in her stead. Please note on the form whether you would consider that possibility.

Requests must be received a minimum of two weeks prior to the scheduled event. Also, please be advised that commitments cannot be made more than 90 days in advance. Any request received beyond that time period will be placed “On Hold” until the appropriate time.

Again, thanks for your involvement and request to have the First Lady appear at your event. Together, we can make a difference!

PLEASE NOTE: Completion and submittal of this form does not guarantee the First Lady’s participation at the requested event. You will receive an acknowledgement and an answer to your request as soon as is practically possible.

 

Complete this form to invite the First Lady to participate in your event. All fields are required. After form is completely filled out click on the submit button at the bottom of the form to send it.

 

SUBMISSION FORM

Group/Entity making request                           

 

Name of Event/Occasion                        

 

Contact Person:

          NAME:       (ex. Janet Jones)

  PHONE:                      (ex.555234567 (no spaces or hyphens)

         E-MAIL:    (ex. mymail@mail.com)

 

Date of Request                         (ex. mmddyy)

 

Location of event                         (ex. Grant middle school - 123 Main St., Grant, WY)

 

Event Date:                           (ex. mmddyy)   Scheduled Times:                         (ex. 1pm to 3pm)

 

Approximate number of people expected to attend:  

 

Please describe what is scheduled to take place during the event or provide agenda:

 

 

Specifically, what would you like the First Lady to speak about?  And, for how long

 

 

Are the dates and/or times set, or are alternative dates/ times a consideration?  If so, please list acceptable alternates.