Westercon77/BayCon 2025 Panel Request

Westercon77/BayCon 2025 Panel Request Form

Are you interested in being a panelist at BayCon 2025?If yes, please fill out this form and someone from our programming staff will reach out.
Name*

First NameLast Name
Do you use a Pen Name?*

First NameLast Name
Please use my Pen Name on the Public Program
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Have you been a panelist for BayCon in the past?*

By submitting this panel request, I commit to participating as a panelist for the proposed panel."*

YesYesYesAlso Yes

Demographics

Moving forward, to assist our DEI Committee in determining representation amongst our community members, it would be helpful to note those panels with panelists and topics that are inclusive of all of our community members and to serve those members who are underrepresented. While this information is strictly voluntary, it would be incredibly helpful for our records and reporting to have this information for transparency purposes.
Race (Optional)
Other:
Gender (Optional)
Preferred Pronouns (Optional)
Other:
Additional Comments:
Should be Empty:

Westercon77/BayCon 2025 Panel Request Form