Primary Contact Name (required)

Your Queen's Email (required)

Club/organizations name (required)

Please provide the name of your event (required)

What is the date of your event? (required)

What is the time of your event? (required)

What is your estimated number of attendees for this event? (required)

Where is the event? (required)

From what time to what time do you want the PSC in attendance? (required)
Start time: End time:

Please provide a brief description of your event (required)

We ask that you reserve a private room at the venue that can be used to conduct confidential support sessions. What room do you currently have reserved? (required)

Please include what is especially sensitive/triggering about this event (required)

Please provide any additional requirements/details you would like us to be aware of.

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