The Black Brain Campaign Event Request Form

Thank you for your interest in having the Black Brain Campaign appear at your event. Online submission of this form is required for all requests and must be received at least 2 weeks prior to your event. The purpose of this form is to collect as much information as possible in advance so we can be prepared to help you have a great event! Please fill out this logistics form with as much detail as possible. We really appreciate your time completing this form. Please note, completing this form is not a confirmation for attending your event. If you have any questions, please contact Jamillah Byrd, Event Coordinator, via email at events@theblackbraincampaign.org by phone at (215) 778-9716