Geek.Kon 2017 Panel Registration
Panel registration will end after June 30th
Contact Information
Full Name: *
Your answer
Contact Email: *
Your answer
Contact Phone Number: *
This is in case of medical or scheduling emergency
Your answer
Panel Details
This is the information that will appear in the program book
Panel Title: *
Your answer
Panelists: *
Separate names with commas and put preferred names in parentheses. PLEASE include real names for our reference; only names in parentheses will be published if included.
Your answer
Panel Outline *
Please explain your panel in full detail, including an outline of your discussion points and what you plan on doing. Please be as thorough as possible. If this box cannot fit your outline than please email it to
Your answer
Panel Description *
This is the description for the program book. Please keep it to under 350 characters.
Your answer
Adult Panel: *
Does your panel audience need to be 18 or older? Please note that ALL panelists on an Adult panel must themselves be 18 or order. Clicking yes acknowledges this and affirms that it is the case.
Time Preferences
These will serve as suggestions for the person making the schedule. Be ready if you don't get the time you want. Everything can't be on Saturday.
Chosen Length: *
1st Choice *
2nd Choice *
3rd Choice *
Times unavailable
Equipment Needed
If you do not request equipment, you may not get it or it may not be available. Please be reasonable with requests as the convention does not have everything.
Audio: *
Will you be playing sound off a device?
Audio Needs
Projector: *
If you need a projector, go on to the next question
Connection for Projector
Select all that apply. Apologies in advance for Macintosh users. Our equipment department is mostly windows users
Which type of room would you most prefer?
Will you be submitting multiple panels?
If yes, then continue to the next question
Are you ok with having your panels run back to back in the same room?
Any other set-up notes
Your answer
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms