The Relation Foundation
                    Live and Love at your Fullest Potential
Please fill out the form below. It will be sent directly to
the team for consideration. Thank you for your time...

Do you have experience
with public speaking?
No
How would you describe
your personality?
Why would you like to
participate in this event?
Please define your specific
expectations/hopes for this
event.
What would your theme be?
love, relationships, business,
health, family etc.
What would be a tag line and
brief description of what you
will be presenting?
Credentials (education,
certification)
No


Name:
Address:
Age:
e-mail address:
Phone #:
Yes
If yes, please explain
Do you have a following?
Yes
If yes, please explain