BOOKING FORM

Dr. Dominique will engage, educate and empower your audience through thought-provoking stories and actionable steps. Your audience will thank you for booking her. Please complete this booking form and a member of the team will be in touch within 24-72 business hours!

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Time of Event
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Age Group for Attendees
If applicable, upload supporting documents.
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THANK YOU FOR SUBMITTING. PLEASE ALLOW 24-72 HOURS FOR A RESPONSE.