You can always press Enter⏎ to continue
LATAM CISO Summit 2024
September 12-13, 2024
12
Questions
START
Language
English (US)
Spanish (Latin America)
Portuguese (Brazil)
1
Name
*
This field is required.
First Name
Last Name
Previous
Next
Submit
Press
Enter
2
Gender
*
This field is required.
Please Select
Female
Male
Non-binary/Non-conforming
Transgender
Other
Prefer not to say
Please Select
Please Select
Female
Male
Non-binary/Non-conforming
Transgender
Other
Prefer not to say
Previous
Next
Submit
Press
Enter
3
Organization
*
This field is required.
Previous
Next
Submit
Press
Enter
4
Title
*
This field is required.
Previous
Next
Submit
Press
Enter
5
Industry
*
This field is required.
Please Select
Civil Society
Government
Private Sector
Please Select
Please Select
Civil Society
Government
Private Sector
Previous
Next
Submit
Press
Enter
6
E-mail
*
This field is required.
example@example.com
Previous
Next
Submit
Press
Enter
7
Cellphone
Country Code
Phone Number
Previous
Next
Submit
Press
Enter
8
Code of Conduct
*
This field is required.
I understand that LATAM CISO Summit is a space dedicated to providing a harassment-free experience for everyone, regardless of gender, gender identity and expression, age, sexual orientation, disability, physical appearance, body size, race, ethnicity, religion (or lack thereof), or technology choices. The organizers do not tolerate harassment of participants in any form. Sexual language and imagery is not appropriate for any conference venue, including talks, workshops, parties, side meetings, and social media. Participants violating these rules may be expelled from the activity at the discretion of the organizers.
Previous
Next
Submit
Press
Enter
9
Use of Image
*
This field is required.
By participating in this event, I acknowledge and consent to the capture and use of my image in photographs, video recordings, and any other media formats taken during the event for promotional, educational, or informational purposes by the event organizers, their partners, or media personnel authorized by them. This may include, but is not limited to, use in press releases, printed publicity materials, online publication, and social media platforms. I understand that all photography and video recordings may be shared and displayed publicly, and I agree that I will not receive compensation or claim any rights over the use of these images.
Previous
Next
Submit
Press
Enter
10
Pre-Registration Disclaimer
*
This field is required.
I acknowledge that my pre-registration will be subject to a comprehensive review process, and submitting this form does not ensure my participation.
Previous
Next
Submit
Press
Enter
11
Contact Information Consent
*
This field is required.
By submitting my pre-registration, I hereby give my express consent for my contact information to be shared with other participants, partners, sponsors, and third-party service providers associated with the organization and execution of this event. I understand that my contact information will be used for purposes related to communication regarding this event and future events and initiatives that may be of interest to me. Should I decide to withdraw my consent and request the removal of my contact information from the sharing list, I will contact the organizers directly. By giving this consent, I acknowledge and agree to my contact information being used as described above.
Previous
Next
Submit
Press
Enter
12
Leadership Role Confirmation
*
This field is required.
By submitting this form, I confirm that I hold a leadership position with decision-making authority in my organization.
By submitting this form, I confirm that I am a Digi Americas Alliance Member or "Special Guest".
Previous
Next
Submit
Press
Enter
Should be Empty:
LATAM CISO Summit 2024
[Edit]
Question Label
1
of
12
See All
Go Back
Submit