Application to Present at the National Foot Zone & Enrichment Conference (April 5–7, 2018)
If you have any questions or concerns about this application, please contact conference chair, Nic Johnson, at iheartredsox@gmail.com.
Name (First and Last) *
Your answer
Phone Number *
Your answer
Email Address *
Your answer
Foot Zone School you are associated with (if applicable)
Your answer
Who referred you to apply? (if applicable)
Your answer
Title of Presentation *
Your answer
Preferred length of presentation slot *
Days you are available to present (select all that apply) *
Required
Short description of presentation *
Your answer
Level of skill/experience of your audience
Short bio (including any experience or education that qualifies you to speak on this topic) *
Your answer
Is there anything else you would like us to consider regarding your application?
Your answer
I understand that The National Foot Zone Conference Committee / The Utah Foot Zone Association is arranging to have my presentation filmed. I release all rights of this film for their use. They may sell or share my presentation. *
Required
I am willing to participate in a short 5 minute video/audio interview with one of the committee members of the National Foot Zone Conference to help promote the conference and my presentation at the conference. I release all rights of the said video/audio interview to the committee.
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