Full speaker booking form

Let’s plan it together

The details that help me serve your event well. Fill in what you can — anything you’re unsure of, we’ll work out together. 💝

1 · Contact & organisation

Full name *

Job title / role

Organisation / Church / Company *

Email address *

Phone number

Website — optional

2 · Event details

Event name / title

Type of event

Start date *

End dateOnly for multi-day events — leave blank for a single day.

Start time

End time

Venue name

Venue address — including city & country

Expected audience size

Audience description

3 · Speaking requirements

Preferred topic / theme — or happy to discuss

Session length required

Number of sessions

Format — select any

Q&A session expected?

Recorded or live-streamed?

4 · Practical & logistics

Is travel & accommodation required?

Who covers travel costs?

Honorarium / speaker fee budget — if applicable

AV equipment available — select any

5 · Additional information

How did you hear about Trixi / Healing 💔heARTs💖?

Any additional notes or special requests

Preferred contact method

Best time to reach you

Fields marked * are all I truly need — the rest help me serve you well.

Prefer a printable version? Download the PDF form instead.