Thank you for your interest in speaking to PIP groups. Please review the Guest Speaker Agreement prior to starting the application. If you have any additional questions email: info@pipaustin.org.

Review PIP Guest Speaker Policy

PIP Guest Speaker Application

First Name

Last Name

Address 1

City

Company Name

Location Preferences

Central
South-Central
South
Southeast
Southwest
Far South
North-Central
North
Northeast
Northwest
Far North
East
West
Steiner Ranch
Cedar Park
Round Rock/Pflugerville
Other

What age group(s) of children is your presentation relevant for?

Newborns (under 6 months)
Older babies (6-12 months)
Toddlers to pre-school (1-3 years old)

Day/Times you can visit groups:

Weekday mornings (before noon)
Weekday afternoons (12-4)
Weekday evenings (after 6pm)

Please give us a bit more information about what you are interested in speaking to parents about.

Topic of Presentation:

Brief description of presentation (Use 40 words or less to explain to a PIP leader what the Group could expect to learn from you):

How is your presentation geared toward parents of babies?

List three main points you will cover in your presentation:

Parents at PIP Groups are often distracted by fussy/crying babies, diaper changes, feeding times, etc. Are you comfortable with this audience?

Yes
No, I would prefer a setting with parents only.
Maybe, can we chat more about this?

If accepted as a PIP guest speaker, I agree to the follow the PIP Guest Speaker Policy (https://www.pipaustin.org/guest-speaker-agreement) and I understand that any violation of this agreement may result in termination as a speaker.

I also understand that signing this agreement does not guarantee that I will be accepted as a speaker with PIP. Please type your name below if you are in agreement.

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info@pipaustin.org

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