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Your name*
Your email*
Your phone
Neighbourhood
How they heard about Let’s Talk (Instagram, Facebook, TikTok, Lamppost poster, friend, Eventbrite, etc.)
Interests (attending events, volunteering, hosting, special events)
Is it OK for us to send occasional updates? I consent to receiving updates
City
Age range
Why would you like to become an ambassador?
Do you have relevant experience?
General availability
I consent to being contacted I consent to receiving the occasional update
Contact name*
Venue/organization name*
Your website/social media
Location & capacity
Type of venue
Availability
What are your goals for partnering with us?
Notes (Wi-Fi, parking, accessibility, etc.)