Clean Air Champions Book a Champion |

Book a Champion

Thank you for your interest in booking a Clean Air Champion to speak at your school or organization.

Our programs are offered FREE to those who have registered in one of our school programs:

High School Climate Challenge (grades 9-12)
Clean Air Achievers (grades 5-9)
Air Aware (grades 6-12)

For non-program requests a fee is charged.

Important: This presentation is Free to participants for the above school programs, but we have considerable expenses to deliver our programs. If you need to cancel or change a Champion visit, please give us at least one week's notice. Thank you.

Please note: all fields marked with an asterisk (*) are required.

Program

What is the name of the school or organization hosting the appearance?

What is the name of your class (subject), school club, or sports team?

How did you hear about Clean Air Champions?

Other

Event dates

Please list at least one desired date and time for the Champion's visit, starting with your top preference as #1.

Date #1	Start time	End time

Date #2	Start time	End time

Date #3	Start time	End time

Contact information

Who will be the main contact person for this booking?

First name	Last name
Position
Address
City	Province
Postal code	Phone
Website	Email

Location

Where will the event take place?

Event location address 1
Event location city	Province
Event location postal code	Event location phone number

Audience/appearance details

Please provide specific details about the audience, your school/organization and the context of the Champion's visit, which may be relevant for the Champion to adapt his/her message to the specific situation. The more details you include, the better!

Audience size

Audience age range

English

French

Will media be present?

If yes, please describe:

Specific environmental interests of the audience or organization:

Other information you feel may be relevant (i.e. school enviro themes or top sports, wheelchair access, socio-economic issues of student body etc):

Will the following be available for the Champion's presentation?

Microphone

Podium

VHS or DVD player and television or projector

Laptop and projector

Table or area for display of sport paraphernalia

PowerPoint software

Internet access

General comments

For all CAC booking requests that are not part of our school programs (i.e. HSBC Clean Air Achievers, High School Climate Challenge & Air Aware) there is a fee to book a Champion. The balance of this fee is applied to administration, shipping, phone and other expenses directly related to ensuring our Champions are well prepared for their presentations.

Please indicate if you can cover a fee in this range ($300-$600):

If you selected NO or MAYBE, please describe your situation below. Within 48 hours of submitting this booking request, a member from our CAC staff will contact you to discuss possible options.

With regards to for-profit organizations and corporate requests, please describe your event and the role you would like our Champion to play. The more detail you can provide the better:

We try and match our Champions to events that are within close proximity to their homes, place of work or sport training so that they can maximize their active transportation options. However, we also realize that this is not always possible or practical for the Champion or the client and we will accommodate accordingly.

After each Champion's presentation we ask the contact person, or someone who has witnessed the entire presentation, to complete a short survey to evaluate the performance. The survey will be sent by e-mail to the contact person indicated in this booking form. Please complete this survey within days after of the Champion's visit.

We look forward to working with you to make your event a success. If you have any questions please feel free to contact Clean Air Champions' staff at info@cleanairchampions.ca.

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