2Nd Annual June 15, 2017 Summer Symposium

Call for Speakers

2nd Annual June 15, 2017 Summer Symposium

The 2017 Wellness 4 Schools Summer Symposium brings together teachers, administrators, parents, businesses, organizations, and community leaders that all have a stake in providing opportunities for wellness within our schools. The main purpose of this event is to help school leaders find funding sources to implement wellness programs at their school.

You are invited to submit your presentation for consideration as part of our programming on the day of Thursday, June 15, 2017 between the times of 8:30am-12:30pm. Please fill out the form below and submit to Liz Kanche,

Presentation Information

Speaker Name: ___Representative of Live Well Allegheny ______

Business/Organization Name: Live Well Allegheny______

Mission Statement: A key component of making Allegheny County one of the healthiest places in the nation is giving our children the foundation and resources they need to achieve their best physical and emotoional health. Because children spend the bulk of their day in the school setting, having healthier options in the school environment are integral to improving the health of Allegheny county children ______

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Title of presentation: _Becoming a Live Well Allegheny School District: Action Steps Tailored to Your School District______

Relevant Experience (briefly described): ______

Is this a hands-on demonstration? YesNoX

Audio Visual/Other Equipment Needs: _PowerPoint__presentation______

Speaker Agreement

This agreement is between the organizers, American HealthCare Group and __Live Well Allegheny______, whereby Speaker agrees to present program as listed above.

Contact information to be printed in conference materials:

Name: ___TBD______

Company: __Live Well Allegheny County Health Department______

Phone: ___412-247-7816______Address: Hosanna House 807 Wallace Ave. Second Floor Suite 204 Wilkinsburg, PA 15221______

Email: ______

Waiver

The Speaker agrees to present at the June 15, 2017 event at CCAC Allegheny Campus and to adhere to the content of their talk as outlined in this description.

Agreement

I, the undersigned, agree to provide speaking services in accordance with the specifications documented above. I agree to indemnify and hold harmless AHG against any and all claims, liabilities and expenses of any nature whatsoever, arising out of or related to the provision of my speaking services.

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Signature of Presenter Date

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Signature of AHG Date

Please attach a bio of all speakers and a copy of the presentation if applicable.

Submit competed form:Liz Kanche,

American HealthCare Group, 1910 Cochran Road, One Manor Oak, Suite 405, Pittsburgh, PA 15220

Questions? 412-563-7854