Speaker Request Form

Leo Manzano has been invited to speak at various schools across the nation, at some of the world's most well known companies and has been featured on hundreds of media outlets, sharing his personal experiences of enduring and overcoming the odds that were stacked against him throughout life.

To ensure that Leo Manzano can make the most informed decision about your request to speak at your event, class, conference, or workshop please fill out the following questionnaire.

Upon submission, your request will be reviewed and Leo Manzano will reach out to you personally within 3 business days.

Please note that Leo's Speaker Fees start at $5,000.

Contact Information

Name *

Company/Organization *

Title *

Phone Number *

Email address *

Organization or event website URL

About the Event

Event Name *

Date and Time of Event *

Location of Event *

City, State, Country. If virtual, please indicate Skype, Zoom, etc.

Presentation Format *

Keynote Address
60-90 minute In-Person Speaking Engagement
60-90 minute Virtual Speaking Engagement
2-4 Hour In-Person Workshop
Panel Moderation
Panel Participant
Other

If Panel, please list other panelists. If Other, please describe format

Slide Presentation Required? *

Would you like to include a Q&A? *

Event Theme *

Motivational, Workshop, Conference, etc.

Proposed Topics *

Audience Demographic *

Middle School, High School, Elite Athletes, Corporate, etc.

Approximate Size of Audience Expected *

Will the event be recorded? *

Yes
No
Unsure

Will this event be open to the public? *

Language Preference *

Appropriate Attire *

Confirmation Deadline

Honorarium

In-Person fees for speaking engagements starting at $5,000

Estimated Budget for Speaking Engagement *

Terms

The requesting organization provides air travel, hotel accommodations and meals, if applicable.

Upon approval, a contract will be sent to the authorized representative of the requesting organization. A non-refundable 20% deposit and signed agreement are required in order to confirm Leo Manzano's appearance.

Additional Information or Special Requests

Thanks for getting in touch!

We appreciate you contacting us. One of our colleagues will get back in touch with you soon!

Have a great day!

Thanks for getting in touch!

We appreciate you contacting us. One of our colleagues will get back in touch with you soon!

Have a great day!

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