Fangaea Panelist Registration Form
Thank you for your interest in participating in Fangaea 2021!
Fangaea will be taking place on October 9, 2021 at the Scottish Rite Event Center, located at 1895 Camino Del Rio S | San Diego, CA 92108
Contact us at (619)261-3524 or
Name (First, Last) *
Include stage name(s) and indicate if that is how you are to be introduced or listed.
Email *
Phone Number *
Organization / Affiliations (Group, Company)
Are you interested in participating in a traditional panel discussion (General Panels) or in an interactive workshop (Dynamic Room)? *
What panel topic, discussion, or workshop are you proposing? *
Please provide (tentative) name, summary of topic, and format (including if this is a solo or group panel, if it is interactive with audience participation, etc).
What genre does your proposal fall under? *
Check more than one if applicable. Check "Other" and describe if none of the below apply.
Are you using any AV equipment beyond a microphone(s), and if so, what?
This can include projector, laptop, CD player, additional tables, etc. We are supplying mics, a laptop, and a projector. Anything beyond that, you might have to supply. You can just write microphone if nothing is needed.
Is your interest in being the sole facilitator, a panel member, or a moderator? *
Sole facilitator means you are the only panelist or the only one conducting a workshop.
Please provide a three to four sentence biography. *
This biography will be used for our convention booklet, website, and as your introduction by the moderator to the panel audience. We will be requesting a head shot or logo for the website and program book.
What is your panel/presentation experience? What other conventions or events of a similar nature have your participated in? *
Relevant links, websites, videos, etc
What is your preferred time of day to present or participate in a panel/workshop? *
You may choose one, more than one, all times, or the "It Doesn't Matter" option. Times are not guaranteed and are assigned on a first come, first assigned basis, so choose more than one option.
Anything else you would like to include that our questions missed? *
How did you hear about Fangaea and this opportunity? *
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