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Booking Form - Transplant and Organ Donation Presentation

Presentation Booking Request

Thank you for your interest in hosting a presentation on the importance of organ and tissue donation and transplantation for your class or school.
Due to high demand, we require a minimum of 8 weeks' notice for all presentation requests.
In collaboration with the Trillium Gift of Life Network (Ontario Health), our guest speaker lineup features healthcare professionals from the:
A transplant recipient, living organ donor, or donor family member will also join to share their personal transplant journey.

Presentation bookings are available during the school year (September - June).

To help us accommodate your request, please submit up to four preferred dates and times, as your first choice may not be available.

Presentations will be offered in-person at high schools in the Greater Toronto Area (GTA) and Ottawa, subject to speaker availability. Schools outside the GTA will be offered virtual presentations should there not be a local speaker available.
1.How did you hear about us? Select all that may apply.
2.Individual completing the booking form(Required.)
3.Please select your school board(Required.)
4.Please enter the high school information below.(Required.)
5.Materials
Please select additional materials for your students attending the presentation. Materials will be sent in advance to the teacher email to distribute to students prior to the presentation.

Materials will be in English but can be requested in other languages. Trillium Gift of Life Network will courier to your school BeADonor pamphlets (English) and buttons to distribute to your students on the presentation date.
Presentation Booking Details

A booking lead time of six (6) weeks is required for all bookings in order to secure speakers. Every effort will be made to accommodate your first choice.

Please enter four (4) possible date and time preferences for one booking. You must hold these dates until you are confirmed with a date/time.

**Should you want more than 1 presentation booking please complete separate booking requests.**
6.Presentation Type(Required.)
7.How will this presentation take place?

Confirmed virtual presentations will be sent a secured licensed Zoom meeting link to the booking teacher.
Additional audio/visual may be needed to setup the best experience in a classroom setting. Please ensure your setup works and if needed to schedule a test session for a date in advance.
8.Grade level
9.Subject area - please select all that apply.
10.How many students will attend the presentation? 
You may estimate but final numbers are required in advance of confirmed presentation.
11.Date/Time Preferences
Minimum presentation time is 75 minutes. Please note this is the total presentation time. If your class includes announcements, etc. please ensure speakers will have the full timing. (MM/DD/YYYY)
12.Date/Time Preference 1(Required.)
Date / Time
Time
:
13.Date/Time Preference 2(Required.)
Date / Time
Time
:
14.Date/Time Preference 3(Required.)
Date / Time
Time
:
15.Date/Time Preference 4(Required.)
Date / Time
Time
:
16.Please enter any other information helpful for this booking request.
17.Would your class/school be interested in participating in call to action projects (for transplant and organ donation) that may be available? These can include pitch competitions, education opportunities, and video submissions.