Speaker & Event Request Form

Raw, Unapologetic, Power in Every Room

World Influencer, Best Selling Author, Ordained Interfaith Minister, Sensational Speaker & Educator
Use this form to submit a request for Thema Azize Serwa to be present at your next upcoming event. To confirm Thema for events there is a $300 retainer fee in addition to any necessary traveling, lodging, and food costs.

If your request is for an online radio show speaking engagement or interview, the $300 retainer fee is reduced to $150 with approval of the request. If you are a Certified Womb Sauna Practitioner, the $300/$150 retainer fee is waived, but all traveling, lodging, and food costs must be paid.

Once your request is approved, to have it added to her calendar the retainer fee must be paid first and you will receive an invoice for that fee. The retainer fees are non-refundable.
Thema Azize Serwa is a divine force. She speaks and educates in environments ranging from public and private schools, churches, retreats, conferences, intimate local events, podcasts, to stadium size events.

As a professional speaker, she reaches thousands of people worldwide every year. Her energy reminds everyone in the room, or tuning in, that they are important and their power is limitless.

She adapts her #HealEverything message to cater to audiences as young as 5 and as seasoned as 60+.

Some of Thema's most impactful talks throughout her years include:
- The Health Benefits of Yoni Steaming
- Infertility: The Motherhood Initiation
- How to Launch a Yoni Steaming Business
- The Value of Integrative Health Care for Women
- Self-Care as the Foundation of Your Business
- Breaking the Struggle Love Paradigm - Toxic Lover Healing
- Healing Your Mother Wound
- Struggle Shaming - Releasing Unworthiness
- Queenin' - Reclaiming Your Sensual and Sexual Power
- From Hustling to Receiving in the Marketplace - 888 Code
We are happy that you would like to include her in your upcoming event. She loves to serve and support. Our team will be sure to respond to your request quickly.
Tell Us Who You Are
Full Legal Name *
Preferred Name
Name of the Organization Submitting Request *
Email *
Phone *
What is your organization's website? *
Are you an approved Womb Sauna Practitioner in training or Certified Womb Sauna Practitioner? *

Yes No
Tell Us About the Event

Please allow up to 3 business days for your request to be reviewed and responded to. In addition, the best way to ensure acceptance of your request is to have all the details when you complete this form. If you are not able to provide the information we are requesting below, your request will not be accepted.
Name of the Event *
Start Date and Time of Event *

Month Day Year
at
Hour Minutes AM/PM Option Date Picker Icon
End Date and Time of Event *

Month Day Year
at
Hour Minutes AM/PM Option Date Picker Icon
What type of event are you coordinating? *

Radio Show Interview In Person Event (i.e. Trade Show, Sister Circle, Lecture, Community Event) Webinar Guest Conference Speaker Women's Live Empowerment Event
Size of the Event (i.e. 10 - 20 people) *
Tell us about your audience. *
Tell us what you know about Thema and her work. *
Please describe what it is that you are requesting Thema to do at your event? *
If you prefer, you can record your request, providing details about the event
Staff accommodations may be required. What type of accommodations will you provide? If this is an online event request, please type "N/A" *
Thema travels with a support person to ensure her highest level of service at your event. At a minimum. please be prepared to accommodate her assistant's access to the event and meals if being provided.
Please summarize the event itinerary. *

What is the address for where the event is being held? *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

If this event requires overnight stay, please provide the proposed information for traveling, lodging, and eating arrangements. *
Please describe the name and contact information for who Thema should check in with and her check in procedures upon arrival. -or- Instructions for Access Details for your online event *
If your request is approved, we absolutely will support all of your marketing efforts of the event to contribute to the success. *

E-mal Facebook Pinterest Twitter Instagram Website Print Marketing Street Team(s) Private Invitation Word of Mouth
To support your marketing efforts at the highest level, our team needs a minimum of 2 months to market the event to our audience, through our marketing channels, in a way that does not conflict with our existing marketing campaign schedules. Please keep that in mind when submitting your request. *

By checking here, I agree to send the marketing packet to Thema's team in a timeframe that allows for adequate marketing support of the event.
Is there any additional information you'd like to include?
Should be Empty:

Raw, Unapologetic, Power in Every Room

Tell Us Who You Are

Tell Us About the Event