Anime Evolution 2019 Panel Submission Form
Event Timing: Saturday July 27th - Sunday July 28th, 2019
Event Location / Address: Nikkei National Heritage & Cultural Centre (6688 Southoaks Crescent, Burnaby BC)
Contact us to programming@animeevolution.com for any inquiries.
Full Legal Name *
Your answer
Preferred Name *
Your answer
Birthdate *
Registrants must be at least 15 years of age on the day of the event to be eligible.
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DD
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Email address *
Your answer
Phone Number *
Your answer
Will there be a co-host? *
Required
Co-Host's Full Legal Name
Your answer
Co-Host's Preferred Full Name
Your answer
Co-Host's Birthdate
MM
/
DD
/
YYYY
Co-Host's Email Address
Your answer
Co-Host's Phone Number
Your answer
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