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Panel Submission Form

Panelist Information:

First Name:
Last Name:
E-mail Address:

Panel Information:

Panel Name:
Name(s) of Individual(s) Running Panel:
Panel Description:

This is the text that
will appear in the
Con Book

Panel Rating: SC-ALL SC-10 SC-13 SC-MA (descriptions)
Expected Attendance: 0-20 20-50 50-100 100-200 200-400 400+
Contain Game Show or Competition Elements:
If Yes or Maybe, Will You Require Prizes:
(you will be contact later about petal points)
Bridfely Describe the Format of Your Panel:
(AKA what will happen)

Example: "My panel is about cosplay on a budget. Myself and my co-host will be at the front telling the audience about the different ways we've found to make cosplay more affordable. We will be showing off our FFX Yuna costume as an example of cheap, but not cheap looking, cosplay. We will then take questions at the end of the panel."

Tech Required

Microphones: 0 1 2
Wireless Microphone:
A Projector with Screen:
A Laptop Hookup (PC ONLY):
Will You Require Internet:

note: internet is not guaranteed

Do You Require Special Setup,
or Special Tech that is unlisted
in the above choices:

note: Outside of extremely special circumstances (such as Speed Dating), the layout of the panel rooms cannot be changed. As always, Special Setup or Special Tech cannot be promised; we will do our best.

What Tech or Props are
You Planning on Bringing (if any):

Schedule Information

Preferred Date:Friday Saturday Sunday
Preferred Starting Time:
Panel Duration:

*note: permission from Coordinator is
required for panels over 2 hours

Setup Time Needed:
Please List Any Time Constraints or Conflicts:

Example 1: I am not staying in a hotel so I will not be at con until 11am everyday and have to catch the last bus at 1am.
Example 2: I am hopefully participating in Cosplay Chess.
Example 3: I go to the Star Wars panels every year and I don't want to miss them!

Background Information:
Have You Ever Ran a Panel Before:
If yes...

What Convention:
What was the Panel About:
What was the Approximate Attendance:
Did You Feel the Panel was Successful: Yes No

Additional Comments:

(This sends us your info!)

(This clears the form.)

For more information or questions, please contact the Panels Coordinator at

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