Inquiry Form

Thank you for considering Tina for your upcoming event! The more information you can share with us about your event, the better. Once we receive your information, we’ll get in touch with you ASAP.
If you'd like to book Tina via phone, you can contact her at (920) 544-1381. We look forward to working with you!

First Name (required)

Last Name (required)

Email Address (required)

Phone Number

Website URL

School/Organization

Address

City

State / Province

Zip Code

Country

Program Interested In
Please select all that apply.

Target Audience
Please select all that apply.

* All shows typically cover
1. What Tina witnessed first-hand while working as a Hollywood actress
2. How celebrities shelter their own kids from their own entertainment
3. How pop culture promotes harmful behaviors without showing the consequences
4. The many positive entertainment choices available today
5. How you can develop leadership skills and become a world-changer

Topics You Want Tina to Cover
Please select all that apply.

Name of Event

Date of Event

Location of Event

Expected Attendance

Number of Speaking Sessions

Budget
What is your estimated budget? (not including travel)

How Did You Hear About Tina?

Comments / Questions
Please include any specific requests! Thank you for your interest!