ConStellation 12: Age of Aquarius
Panel Submission Form

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Name *
Email *
Phone Number *
If there is an associated organization running or helping with this panel, please include it here.
Panel/Program Title *
This is what will be put in the program book.
Panel/Program Description *
How Many Presenters? *
Duration *
Timeslot Preference *
Start times listed
Room Size *
Will you need any of the following equipment from staff?
Does this panel have an age restriction? If so, specify:
Does this panel have a participation limit/room cap? If so, specify:
Is there anything else we should know? (E.g. Need to move tables, anything not listed above, etc.)
By filling out this form, you understand that ConStellation has permission to record your presentation and/or publish it in whole or in part and use it for promotional purposes. *
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