Event Consultation Request Form

Thank you for your interest in bringing a Pocket of Peace experience to your community. Please share a few details so we can create the perfect session for your group.

Contact Information

Full name*

Organization / ministry / group name

Role/title

Email*

Phone number*

Preferred contact method*

Text

Call

Event Overview

Event name

Optional

Event type*

Audience type*

Church/women's ministry

Community organization

Youth group

Other

Expected number of attendees*

Age range

If youth included

Format*

Location*

City/state or virtual link if known

Preferred date(s) + time window*

Desired session length*

Your "Why" + Desired Outcomes

In one sentence, what do you want attendees to walk away with?*

Main theme*

What would make this event a success?*

Pocket of Peace Experience Preferences

Format preference*

Faith language preference*

Participation comfort level*

Logistics + Space Needs

Venue details

Optional

Microphone/sound available?*

Seating style*

Accessibility needs

Optional

On-site point person name + phone/email*

Add-ons (Optional)

Pre-event planning call (Wellness Event Coaching Consultation)

Customized theme + run-of-show

Guided journaling prompts handout (digital)

Affirmation cards (digital)

Candle/scent element (quote required)

Post-event reflection + next-steps guide

Budget + Booking

Budget range

Optional

Booking status*

How did you hear about Coach ACE?*

Anything else I should know?

Open text field for sensitivities/special requests (trauma-informed approach, grief, youth safeguarding, etc.)

Coach ACE is a trauma-informed wellness coach (not a licensed therapist, counselor, or medical provider). Coach ACE is certified in Mental Health First Aid and can offer support and referrals, but not therapy or diagnosis.

I have read and understand the disclaimer above*

I understand this is wellness coaching/facilitation and not therapy or medical care*

I agree to be contacted about my request*

Your cart is empty

Request a Custom Quote

Contact Information

Event Overview

Your "Why" + Desired Outcomes

Pocket of Peace Experience Preferences

Logistics + Space Needs

Add-ons (Optional)

Budget + Booking

As Seen On