Panel Sign-Up Form

All panel submissions must be in by August 20, 2011. You will be notified by August 22nd..

Panel Sign-up Form

Your real name

Your E-Mail address

Name to appear in program guide (if different)

Panel/Workshop title

Description for program guide (20-40 words)

Equipment needs
DVD Player Sound System Microphone Projector/Screen

Additional requests

Are there any times or events that you do not wish to run against?

Panels are available to run in one-hour increments. If you need more then one hour please indicate which hours you would like. Please include a second and third choice of day and time slot. We will do our best to accommodate your request.

First choice

Second choice

Third choice

Will you need extra setup or cleanup time?
Yes No

Is there extra cost for this event?
Yes No

Will there be additional panelists? Please provide their names & contact info below. All panelists must be at least 13 years old.

Detailed Description: Please be specific as to the topic of your panel/workshop & what you will talk about. This info will not appear in the program guide.