MADD Youth Presentation Request

MADD Indiana offers presentations for underage drinking prevention through our Power of Youth and Power of Parents Programs. MADD also offers victims speakers, table displays and community events information sessions, etc.

If you are interested in any of these types of presentations please fill out the form below and we will be in touch soon!

MADD Youth Presentation Request

Fields marked with an * are required

Date (Today)(Required)

Deadline to Confirm Appearance(Required)

Requester Name(Required)

Email(Required)

Phone(Required)

Presentation Type(Required)

Please describe the event.(Required)

Date of Event (Date Event will occur)(Required)

Event Location(Required)

What is the event time frame? (ex. 10am - 2pm)(Required)

Please list what time MADD needs to arrive to set up. (include AM/PM designation)(Required)

Name of the Event(Required)

Location of the Event(Required)

Event Address(Required)

Please list the subject focus of this event, i.e. Pre-Prom, Underage Drinking Prevention, Health & Wellness, etc.(Required)

What technological aides or supplies will MADD need to supply.(Required)

Please state the desired length of the MADD presentation.(Required)

How many presentations will MADD lead during this event?(Required)

What demographic is this event catered to?(Required)

How many attendees are projected?(Required)

Please provide any additional details regarding the event that may be relevant for MADD Indiana to know.(Required)