Request Fr. John Bartunek as a Speaker Form

Event Title*

Event Start Date*

Event End Date*

Schedule*

Please be specific about exact times from arrival to departure, including talk times, corresponding plans, event schedule times and start and stop times of presentation(s).

Event Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

How many talks are you requesting Fr. Bartunek to present and how long for each talk?*

Please indicate if there are any other dynamics he would be required to participate in e.g. Q&A, panel discussion, workshops. Will Fr. Bartunek celebrate or concelebrate Mass and will he be the homilist? Is he expected to be available for confessions? If so, what time?

How many people are registered or projected to be at this event?*

Can you give a brief explanation of the audience (e.g. men and women, age range, RC members etc.)

What is the nature of this event?*

i.e. formation or training, fundraiser, youth talk, business talk, pro-life talk? Please provide as much detail as possible? What are the expected outcomes for this event?

What topic(s) would you like Fr. Bartunek to focus on?*

Who will provide transportation for Fr. Bartunek to and from the LC community?*

Who is the contact person to be in touch with this for this event?*

Please include email and phone number.

Will his books be available for sale?*

Do you have a bookstore or person who can manage book sales or is this something you would like the author to take care of?

What is your budget for Fr. Bartunek's appearance fee (excluding travel costs)?*

Will the event contact person take care of the necessary ecclesial permissions or is this something you will need Fr. Bartunek, to request ahead of time (at least 6 weeks prior to the event date)?*

If you have any additional information you would like to share, please include it here.

Please inform Lucy Honner lucy@rcspirituality.org or call (770) 500-7952 if you have any further questions.

Request Fr. John Bartunek as a Speaker Form

Request for Fr. John Bartunek to Speak at Event

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