HRPC Panelist Application Form
Thank you for your interest in being a part of the High Roller Pony Con panels! We are looking for lots of fun and entertainment for our guests, and want to showcase the splendor that is Las Vegas. Please fill out the form as accurately as possible. If there is a part you are uncertain of, or wish to add additional information, please utilize the "Notes" section at the end of the application, or email us at

Applications will close 3 months prior to the convention (March 1st, 2018).

Email address *
Name *
First and last name
Your answer
Con Name
Your answer
Please List All Members of Panel (If applicable)
Your answer
Email *
Your answer
Skype Username
Your answer
Name of Your Panel *
Your answer
Please Describe your Panel *
Your answer
What is the anticipated duration of your panel?
If you have a link to a previous panel, example of your work, etc please link here.
Your answer
What is the Audience Age for this Panel? *
Do you require high power/surge protection? (Above 115V 15A A/C, or 1700 Watts) *
(If Applicable) What is your expected power consumption?
Do you require Assistance/Volunteers? *
Does your panel involve food/drinks? *
If not chosen for Wave 1, would you like to be considered for future waves/back-up panelist? *
What, in particular, would make your panel stand out at HRPC?
Your answer
Notes (Anything else you want us to know!)
Your answer
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