Speaker Request Form

  * = required
Event name:
Organization hosting event:
Contact information:
First Name: *
Last Name: *
E-mail: *
Event information:
Date and time of desired appearance:
Location of appearance (city, state, venue):
Nature of appearance (keynote speech, debate, panel, etc.), desired subject matter, and expected duration:
Will CLE credit be offered to attendees? Yes   No
Are written materials required? If so, by what date?
If other speakers are involved, please list those confirmed:
Other potential speakers being contacted:
Description of event and audience (number of attendees anticipated; are they law students, practicing attorneys, business group, etc.):
Will members of the news media be present? Yes   No
Will the event be videotaped or recorded? Yes   No
Is the event open to the public? Yes   No
Is there an admission charge? Yes   No
Organizers will pay speaker's (please check those applicable): Local expenses
Air travel
Hotel and meals
Honorarium of $
Enter the text above: *
2015 Copyright Sports Lawyers Association®
12100 Sunset Hills Road, Suite 130, Reston, VA 20190
P: 703.437.4377  –  F: 703.435.4390
Email: sla@sportslaw.org