AWIS Speaker Registration Form

AWIS Speaker Registration

Please provide all required details to submit for Atlanta Women In Sports Discussion Panels.
Speaker*

First NameLast Name
Business/ Company Name*
Contact Number*
E-mail*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Discussion Panel Topics*

Sports Equity For FemalesCollegiate Women In SportsMental Health In SportsLGBTQIA Inclusion In SportsThe Future of Women Sports
Other suggestions for discussion topics you would like AWIS to cover, please submit them here.
Bio, Resume, or CV Upload*

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Professional Headshot*

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