Lead Panelist Name (By completing this application, you are automatically the lead panelist. Please use your real name for verification purposes. It must match the name on the ID that you will be showing at registration) *
Your answer
Lead Panelist Email (Please provide an email that you check on a regular basis, as this will be our only method of communication prior to the convention) *
Your answer
Cell Phone Number (Please provide a cell phone number, in case we need to reach you during the convention) *
Your answer
Additional Panelist Names:
Your answer
Are you at least 18 years of age? (The lead panelist for any session needs to be at least 18 years old. Any lead panelist under 18 years old must have parent/guardian supervision.) *