Bold and Brave 2025 Speaker Application form

Bold and Brave Speaker Application form

Thank you for expressing an interest in speaking at our upcoming Bold and Brave Event! Kindly complete the information below, and a member of our team will be in-touch with you. If you have any questions, or need more information please contact us at: boldandbraveinfo@gmail.com.
Download our Speaker Kit for more information.
Bold and Brave Conference Dubai; Theme: More Than A Conqueror (May 16-17 2025)Bold and Brave Charlotte: More Than A Conqueror ( March 15, 2025)Bold and Brave Conference: Birmingham, UK: Theme: More Than A Conqueror (September 12-13, 2025)Other
Speaker's Name*

First NameLast Name
Speaker's Name as it should appear on Bold and Brave Materials*

First NameLast Name
Phone Number*
Format: (000) 000-0000.
E-mail*

Confirmation Emailexample@example.com
Address

Street Address

Street Address Line 2

CityState

Zip CodeCountry

Your online platforms*

Rows	Handle
Website
LinkedIn
Youtube
Instagram
Facebook
Twitter

Your Industry*
Company Name as Applicable.
Do you have a logo that you would like to share?

Cancelof
Your Professional Headshot (this will be used on our website and for promotional materials)

Cancelof
Your professional bio (written in third person). This will be shared on our website*
Speak for Free and Amplify Your Impact with Optional Extras

We are thrilled to welcome you as a speaker at the Bold and Brave Conference! While there is no fee to speak, we offer optional à la carte upgrades and value-packed packages to help you maximize your visibility and engagement at the event. These extras are entirely optional and designed to enhance your experience and exposure.

À La Carte Options
Prominent Branding: Showcase your brand across conference signage and digital platforms – $500
Prime Display Table: Connect with attendees in a high-traffic location – $150
Digital Promotion: A 30-day ad on the Bold and Brave and YuKanFaith websites – $250
Cover Story in YuKanFaith Magazine: Share your story with our audience – $300
Medium-Size Logo Placement: Increase your brand recognition – $350
Feature Story in YuKanFaith Magazine: Highlight your expertise – $275

Optional Packages for Added Value

Keynote Starter Package – $750

Prominent Branding
Prime Display Table
30-Day Digital Promotion
Cover of YukanFaith Magazine within 6 months of the conference
Bonus: A dedicated social media post featuring your keynote.

Breakout Starter Package – $500

Medium-Size Logo Placement
Display Table
Feature in YukanFaith Magazine
Bonus: Mention in a pre-event email to attendees.

Visibility Essentials Package – $1,200

Prominent Branding
Prime Display Table
Medium-Size Logo Placement
Feature Story in YuKanFaith Magazine
Bold and Brave Directory Listing
Bonus: Panel Opportunity and a 15-day post-conference ad.
Special Offer

Dubai and UK: Take advantage of early-bird discounts! Confirm your extras early and save 10-20%.

As a speaker, you’re already making an impact—these options are just here to help you amplify it. For more information or to customize your experience, contact us at Boldandbraveinfo@gmail.com
Keynote SpeakerBreakout Speaker
Title Of Session:
Abstract: Your session abstract will tell Bold and Brave attendees why they should attend your session. To be effective and create interest, it should provide a brief, clear, and concise reflection of your presentation’s content. The abstract should only be one paragraph of between 150 to 250 words in length.*
Outline Your Key Elements. List 4 to 5 primary or key elements of your topic that you will be discussing.*
Target Audience
Have you given this presentation before and/or you do you intend to present it elsewhere in the near future?*
If YES, please list where and when - If NO place N/A in the box.*
I agree to submit my presentation prior to the Bold and Brave Event *
I understand that this is not a paid event*
Are you both an Exhibitor and a Speaker? In order to schedule your session properly, let us know.*
What would you like to sell?
Yes
Would you like to contacted by our travel partner?
Enter the message as it's shown*
Instructions: Please Read Before Submitting the Speaker Form Before proceeding with the submission of your speaker form, we kindly ask you to carefully read the Terms and Conditions outlined below. These terms govern your participation as a speaker and include important details about our expectations, your responsibilities, and legal disclaimers related to the event. By agreeing to these terms, you confirm that: You have reviewed and understood the content of the Terms and Conditions. You acknowledge that failure to comply with the guidelines may result in withdrawal from the event. You agree to uphold the event's code of conduct, ensuring respectful and professional behavior. Please take the time to review the terms thoroughly. If you have any questions or require clarification, feel free to contact us at boldandbraveinfo@gmail.com before submitting the form. Your participation will be confirmed once you sign and agree to the Terms and Conditions. Important: By signing and submitting this form, you are agreeing to the Terms and Conditions, and this action will serve as your official acknowledgment of the agreement.
Signature

Powered by Jotform SignClear
Should be Empty:

Bold and Brave Speaker Application form

Speak for Free and Amplify Your Impact with Optional Extras