PRESENTER INFORMATION
Please complete the following information exactly as it should appear in all conference materials including the final brochure and name badges.

Question Title

* 1. Primary Contact:

Question Title

* 2. Presenter Information:

Question Title

* 3. Is this presenter an adult or youth?

Question Title

* 4. Additional Presenters:

Question Title

* 5. Is this presenter an adult or youth?

Question Title

* 6. Additional Presenters:

Question Title

* 7. Is this presenter an adult or youth?

Question Title

* 8. Additional Presenters:

Question Title

* 9. Is this presenter an adult or youth?

PRESENTATION INFORMATION
Please complete the following information exactly as it should appear in all conference materials including the final brochure. Description for conference brochure is limited to 500 characters.

Question Title

* 10. Title of Presentation

Question Title

* 11. Description of Presentation:

Question Title

* 12. Please indicate your preferred presentation time.

  1st Choice 2nd Choice Doesn't Matter Requires 2 Workshop Slots
AM - Thurs., November 3
PM - Thurs., November 3
AM - Fri., November 4
PM - Fri., November 4

Question Title

* 13. Workshop Format: Please pick one.

Room Set Up
All sessions will be set theatre style. If we can accommodate other requests (e.g. circle, classroom, etc.) we will try to do so, depending on room availability. Please request below.

Access to LCD projectors and laptops are not available; please plan to bring your own.

Question Title

* 14. AV Equipment Available: Please check if any are needed for your workshop.

T