Kairos Center Preachers & Teachers Bureau Request Form

Thank you for your interest in having a preacher or teacher from Kairos Center at your next service, gathering, or event. Please complete this form and a Kairos staff member will be in touch with more information.

1. Your Contact Information *This question is required.

First Name

Last Name

Street Address

City

State

Zip

Email Address

Phone Number

2. Congregation/Organization Information *This question is required.

Congregation/Organization Name

Street Address

City

State

Zip

Email Address

Phone Number

3. Date of Gathering or Event (if unknown please explain below) This question requires a valid date format of MM/DD/YYYY.

calendar

4. Further information on dates of gatheirng/event

5. What is the location of the event? If it is in person, please provide an address. If not, please indicate it is an online event. *This question is required.

6. Type of Request *This question is required.

Please enter an 'other' value for this selection.

7. We are grateful for all invitations to collaborate with your congregation or organization and we invite you to consider a suggested donation based on the size of your congregation (average weekly worship attendance) or organizational membership. Please select the appropriate option below. *This question is required.

8. Please provide more information about the nature of the gathering include how many people you anticipate, time frame, and overall topic you are interested in. *This question is required.

9. Additional Comments, Questions, or Information