Lovestruck Seminar Request Form

Title of the Event

Date and Venue
Main Organizer

Objectives of the Event

Contact Person/Number
Minimum number of Attendees
Ages of Attendees
Equipment which can be
provided by the organizer
Budget for Speaker (specific
amount)
Budget for books (Lovestruck
books must be distributed to
attendees)

Expectations for the

Seminar/Speaker

Other Concerns and Inquiries