Ambassador Request to Represent

Thank you for volunteering to represent Recovering from Religion at your local event. Tell us a little about the event you would like to attend. We will respond to you with our approval and/or feedback on this event once we have reviewed your request.

Name

First Name

Last Name

Event Name

Event Start Date

YYYY

Event End Date

YYYY

Event Location

Event Website (if applicable)

http://

Is there a tabling fee, registration fee, or other cost to participate?

Yes

Please list the associated fees or other costs if there are any:

Please tell us why you want to represent RfR at this event:

Please add any other relevant information about this event: