Programming Submission Form
Panelist Information
Primary Panelist's Real Name *
Use the name on your government issued ID. If we are unable to verify your registration status, we will not be able to schedule your panel.
Your answer
Primary Contact E-Mail *
Use an email where we can reach you if there are any questions and double check to make sure it's entered correctly! (e.g.
Your answer
Please verify your Primary Contact E-Mail Address again. *
Your answer
Primary Panelist's Alias *
Complete this if you would like to be listed under a different name in the Programming book and online schedule.
Your answer
Are you currently registered for Anime Detour? *
The primary panelist MUST be registered at the time the panel request is submitted.
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