SAY: The Stuttering Association for the Young

Speaker Request

If you would like our founder, Taro Alexander; Travis Robertson, our Camp Director and VP of Programming; Fergie Cantos, MS CCC-SLP, TSSLD-BE, our Speech-Language Pathologist; or another member of our SAY team to speak at an upcoming event, please complete this form to submit your request. Please allow 3-4 weeks and understand that we may not be able to accommodate all requests.

Submit a Speaker Request

Organization Name *

First Name *

Last Name *

Email *

Phone Number *

Event Details

Address *

City *

State

Zip Code *

Date *

Time *

Desired Duration of SAY Presentation *

Expected Audience Size *

Audience Type (e.g. Business, Students, Educators, SLP's, Families, etc.)

Travel Expenses Provided (check all that apply)

None

Air / Train / Other Travel

Hotel

Honorarium / Speaking Fee Amount

A / V Equipment Available (check all that apply)

Projector

Screen

DVD Player

Speakers

None

Event details (check all that apply):

Need the speaker's bio

Need the speaker's photo

Press will be attending the event

Other Information that would be helpful for SAY to know:

Speaker Request

Submit a Speaker Request

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