Test Gravity – TalkTools Training

Gravity Form to e-signature-Domestic (US) Workshops-Co-Hosted

Today's Date

Workshop Partner Info

Workshop Partner Name(Required)

First Last

Workshop Partner Organization(Required)

Address

Street Address Address Line 2 City State ZIP Code

Workshop Partner email(Required)

WORKSHOP RESPONSIBILITIES(Required)

WORKSHOP RESPONSIBILITIES LINK: https://education.talktools.com/workshop-partner-us-domestic-terms/

I have read the responsibilities for both Workshop Partner and TalkTools

Workshop Details

Have you attended or hosted a TalkTools in-person workshop before?

Yes

What format is this workshop?(Required)

Virtual/Streaming (TalkTools will provide the virtual meeting platform)

Virtual/Streaming (Workshop Partner will provide the virtual meeting platform)

Onsite/In-Person

IN-PERSON: To avoid cancellation, TalkTools reserves the right to offer this workshop in a virtual streaming format if there are travel issues, inclement weather or other issues that preclude the Instructor from teaching onsite/in person(Required)

Workshop Partner agrees

IN-PERSON OR VIRTUAL: Will you be attending each day of this workshop

Yes

No -- my colleague will be attending (see below)

Course Description and Timed Agenda

Workshop Partner has reviewed the course description and agenda for this course: https://talktools.com/pages/opt-course-descriptionsYes

Workshop Course

Instructor(Required)

Is there another Instructor co-presenting

Start Date(Required)

End Date(Required)

Day 1 Start Time

Day 1 End Time

Day 2 Start Time

Day 2 End Time

Day 3 Start Time

Day 3 End Time

Participant Practice Tool Kits for Interactive Portion of Workshop (Practicum)(Required)

PLEASE REVIEW THE PRACTICUM LIST FOR THIS WORKSHOP - https://drive.google.com/file/d/1tCMGTkSuIng_zB9keHJfRF6u52-7BqYI/view?usp=sharing

I have reviewed the practicum list

IN PERSON OR VIRTUAL: First Name Last Name POC (Point of Contact) during the workshop

IN PERSON OR VIRTUAL: POC email

IN PERSON OR VIRTUAL: POC cell or Messenger

IN-PERSON: Venue Address

Venue Name Street Address City State ZIP Code

IN PERSON: Venue Meeting Room Requirements

Read Workshop Partner Responsibilities: https://education.talktools.com/workshop-partner-us-domestic-terms/

Workshop Partner will ensure meeting room requirements are met

IN PERSON: Catering

Read Workshop Partner Responsibilities: https://education.talktools.com/workshop-partner-us-domestic-terms/

Workshop Partner will ensure minimum catering requirements are met

IN PERSON: Feeding Therapy: A Sensory-Motor Approach -- Instructor Seating

A high bar stool is requested

Yes -- we have a stool available

No -- we don't have a stool available

IN PERSON: Feeding Therapy: A Sensory Motor Approach -- Live Evaluations

Do you have 2 candidates confirmed for the instructor to evaluate IN PERSON each workshop day?

Yes

Not at the time of signing this contract, but we will have this information before the workshop

IN PERSON: Feeding Therapy: Sensory Motor Approach -- If you have 2 live evaluations confirmed, provide the names, ages and diagnosis

If you do not have evaluations scheduled at the time of signing this agreement, provide a date when you will have evaluations scheduled

IN-PERSON: OPT: Assessment and Program Plan Development -- Live Evaluations

Do you have 2 candidates confirmed for the instructor to evaluate IN PERSON each workshop day?

Yes

IN PERSON: OPT: Assessment and Program Plan Development

If you do not have evaluations scheduled at the time of signing this agreement, provide a date when you will have evaluations scheduled

Travel Logistics

IN PERSON: Workshop Partner is responsible for coordinating complimentary ground transportation(Required)

this includes transportation to/from airport/hotel, hotel/workshop venue

Yes -- we are coordinating ground transportation

No -- we are unable to provide ground transportation

IN PERSON: Ground Transportation POC First Name Last Name

if this is the same person, enter "same as Workshop POC" below

IN PERSON: Ground Transportation POC email

if this is the same person, enter "same as Workshop POC" below

IN PERSON: Ground Transportaton POC cell

IN PERSON: Hotel Recommendations

Please provide 2-3 hotels convenient to either the airport or the workshop venue

Shipping

SELECT SHIPPING OPTION(Required)

(based on workshop format)

Virtual/Streaming (practicum kits are shipped participants). Workshop Partner is responsible for providing a registration list with mailing addresses for each participant

In-Person/Onsite (materials -- practicum kits, products/tools and any other materials) are shipped to the address provided below

VIRTUAL OR IN-PERSON: Workshop Partner Responsibilities - Shipping Costs(Required)

To help defray workshop costs, Workshop Partner agrees to pay for a portion of the shipping costs (not to exceed $100)

Shipping Address

Address Line 1 Address Line 2 City State ZIP Code

Minimum Paid Registration Requirement

TalkTools will make every effort to promote and advertise this workshop through our email distribution lists, regional outreach, social media channels and other advertising. To ensure our workshop costs are met, we require a minimum paid registration number.

PAID REGISTRATION MINIMUM IS MET OR EXCEEDED(Required)

If minimum paid registration requirement is met, Workshop Partner will receive 1 free seat + 20% discount for up to 5 registrations. If minimum paid registration requirement is exceeded, Workshop Partner may qualify for additional complimentary registrations

NOT MEETING PAID REGISTRATION MINIMUM(Required)

If the minimum number is not met by a certain date prior to the workshop as agreed upon by the Workshop Partner and TalkTools®, TalkTools® reserves the right to move the in-person training to a virtual streaming or recorded presentation. Additionally, TalkTools® reserves the right cancel the workshop.

PROMOTING EVENT(Required)

Workshop partner agrees to promote this workshop through their local/regional network, email distribution lists and social media channels, as available.

Taiwo 17 Aug 22