AVMLA GUEST Speaker Form

We’re honored to invite you to serve as a guest speaker for the American Veterinary Medical Law Association (AVMLA). Whether you are joining us for a Monthly Member Meeting or contributing to our Annual Continuing Education Program, your voice plays a vital role in elevating cross-disciplinary dialogue between veterinary professionals and legal practitioners.

These sessions are educational in nature and are intended to foster collaboration, address pressing industry challenges, and provide actionable insights to our members. Please note that AVMLA programming is not to be used for promoting business, legal services, or products.

Share Your Expertise, Shape the Discussion

We’re excited to feature your unique experience and perspective. As a guest speaker, you will:

Share your expertise with an engaged and interdisciplinary audience.
Receive featured recognition in AVMLA communications, including MMM promotions and the AVMLA News Brief.
Contribute to important conversations that impact the veterinary and legal communities alike.

AVMLA Member Spotlight

As part of our speaker program, we’d love to highlight your professional background and the value you’ve found in AVMLA membership (if applicable). Your insights help others understand the benefits of participation and inspire continued engagement.

Form Completion & Speaker Details

To finalize your participation, please complete all fields in this form, including:

A recent professional photo
A brief bio
Your company or organizational affiliation
Three short presentation teasers or key takeaways

If you have any questions, please don’t hesitate to reach out to jacquie@planitworld.com. We’re thrilled to welcome you as a contributor to AVMLA’s ongoing dialogue.

Are you a current AVMLA Member

Event participation

Name*

First NameLast Name

Session Title

Co-Speaker Name

Co-Speaker Email

example@example.com

Session Date

Date

Session Time

Hour Minutes

AM/PM Option

Session Description - description: address timeliness and relevance to association foundations (100 word maximum)

Up to 3 Session Teasers and or Take-a-ways for promotional purposes

Handouts/notes to be included in the bookPPTAdditional items, i.e., video, etc.Unsure

Proposed Session Length

If you are participating in a webinar or conference session, please indicate how long your session will be. This does not apply to MMM guest panelist speakers.

Credentials/Degrees

Job Title

Organization

Company Website URL

Phone

Format: (000) 000-0000.

Email*

example@example.com

Employer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Professional bio is limited to 300 words (or attach below or email copy to jacquie@planitworld.com)

File Upload (Photo and or Documents)

Speakers are required to disclose any conflicts of interest at the beginning of their presentation. Please be prepared to share any relevant affiliations or financial relationships that may be connected to your discussion.

Potential conflicts:

Liability and Release Waiver

I agree to fulfill my commitment as a speaker at the AVMLA conference. In the event of an emergency that prevents me from fulfilling this obligation, I will notify the AVMLA as soon as possible and, if feasible, suggest a substitute speaker for consideration.

I also acknowledge that these sessions are intended for educational purposes and are not to be used for soliciting business or services.

I grant permission to the AVMLA to reproduce and distribute my presentation to conference attendees. Additionally, I authorize the AVMLA to use my name, photograph, and biography in connection with the promotion and execution of the conference .

If we are unable to make available your presentation because of its content protection policy, please check the box below.

Signature*

Date

AVMLA EVENT GUEST SPEAKER

SPEAKER INFORMATION