To help insure the best event experience possible, please complete the following form and return it via scanned form to: or call 619.752.4262.


    Contact information for person(s) Dr. Sims’ office should communicate with regarding this event?


    Dr. Sims speaks on many subjects and, time allowing, can tailor his presentation(s) to your specific needs. The following are the usual topics he speaks on. Please select from one or more:

    “Facing Life’s Extreme Circumstances and Coming Out a Winner” (Motivation & Inspirational – based upon his Arctic memoir “On Call in the Arctic”)“Medical Cannabis: Myth, Miracle or Money Dump?” (Educational on the use of medical marijuana – based upon his book “Medical Cannabis: Myth, Miracle or Money Dump? An Informative Guide and Workbook for Personal use of Medical Marrijuana”)“My Pathway to Traditional Publishing” (Educational for writers)“It’s Your Story. Tell it with GUSTO!“ (memoir writing presentation and workshop by Dr. Sims and #1 New York Bestselling Author Tucker Axum.Other: Please specify:

    In the space below please provide information about your group or company and what you hope to obtain from Dr. Sims’ presentation.


    Exact address where the event will take place (if more than one, add additional sheet). If there is a particular room or suite number, please be certain to include:

    1. Date and time for Dr. Sims to present:

      • Date

      • Date

      • Date

    2. Please note: Dr. Sims uses an Apple MacBook Pro for his presentations and all AV equipment must be Apple compatible.


    Please check one of the following:

    Dr. Sims is to provide his own ground transportation (car rental and/or ride share) the cost of which will be reimbursed by the event. (preferred)A transportation service will be arranged by the event to take Dr. Sims between the airport, his hotel, and his speaking engagements.


    Dr. Sims prefers to make his own hotel accommodations. Please provide him with suggestions close to the speaking engagement location. Dr. Sims will submit his checkout invoice to the Event Planner for reimbursement at the conclusion of this program.

    Air travel:

    Should air travel be required for Dr. Sims engagement, he prefers to schedule his own flights. He will travel coach between his home and the airport closest to his speaking engagement and will select seats that fits his needs. He usually does not check any baggage. Dr. Sims will pay for the air travel and submit his invoice to the event planner at the conclusion of his speaking engagement.

    NOTE: Should the event be cancelled for any reason and Dr. Sims is unable to attend the event after he has paid his travel expenses, the event will reimbursement Dr. Sims the cost of his non-refunded travel tickets in full.

    Thank you for completing this form. Please email to