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LATAM CISO Summit 2025
September 11-13, 2025
17
Questions
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Language
English (US)
Spanish (Latin America)
Portuguese (Brazil)
1
Name
*
This field is required.
First Name
Last Name
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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
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3
Organization
*
This field is required.
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4
Title
*
This field is required.
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5
Country
*
This field is required.
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6
E-mail
*
This field is required.
example@example.com
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7
Cellphone
Country Code
Phone Number
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8
Pre-Registration Disclaimer
*
This field is required.
I acknowledge that I am requesting an invitation and my pre-registration will be subject to a comprehensive review process, and submitting this form does not ensure my participation.
Other
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9
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.
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10
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 and audio recordings, and any other media formats taken during the event for promotional, educational, or informational purposes by the eventorganizers, their partners, or media personnel authorized by them. This mayinclude, but is not limited to, use in press releases, printed publicity materials, online publication, and social media platforms. I understand that all photography and audiovisual recordings may be shared and displayed publicly, and I agree that I will not receive compensation or claimany rights over the use of these images.
Other
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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.
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12
Accommodation and Identification
*
This field is required.
I agree to book my stay at the designated hotel through the provided registration link as a condition for event participation. I also acknowledge that wearing the official event bracelet and identification badge at all times is mandatory. Participants who fail to comply with these requirements will not be allowed to participate in the event.
Other
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13
Leadership Role Confirmation
*
This field is required.
By submitting this form, I confirm that I am the topcybersecurity official in my organization or have been authorized and delegated by the top security official in my organization to participate in this event.
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14
Security and Health
*
This field is required.
I acknowledge that each participant is responsible for ensuring their ownsecurity, safety, and health during the event. Following any guidelines or recommendations provided by the organizers, hotel, and event venue is strongly advised. Theorganizers assume no liability for any incidents, injuries, losses, or damages that may arise during the event. The organizers assume no liability for the actions of third parties not directly employed by the organizers including but not limited to hotel, event venue, hospitality, or transportation staff.
Other
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15
T-Shirt Size
*
This field is required.
Please slect your size
Please Select
Small (S): Chest 34-36 inches / 86-91 cm
Medium (M): Chest 38-40 inches / 96-101 cm
Large (L): Chest 42-44 inches / 106-111 cm
Extra Large (XL): Chest 46-48 inches / 116-121 cm
XX-Large (XXL): Chest 50-52 inches / 127-132 cm
Please Select
Please Select
Small (S): Chest 34-36 inches / 86-91 cm
Medium (M): Chest 38-40 inches / 96-101 cm
Large (L): Chest 42-44 inches / 106-111 cm
Extra Large (XL): Chest 46-48 inches / 116-121 cm
XX-Large (XXL): Chest 50-52 inches / 127-132 cm
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16
Do you have an special invitation code?
YES
NO
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17
Provide your invitation code
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