WODIL 2026 Speaker's Registration Form

Speaker's Registration Form

This form MUST only be used by speakers who wish to be considered to speak at WODIL 2026.
Please note that a non-refundable $100 administrative review fee applies to all speaker applications due to the high volume of submissions. Unsuccessful applicants may apply this fee toward a discounted event registration. Selected speakers will receive complimentary event access, with eligible out-of-town speakers receiving up to two nights of hotel accommodation. Breakfast and lunch will be provided for most confirmed speakers.
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Email
example@example.com
Linkedin/Instagram Profile Url
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Your linkedin url:
How did you hear about WODIL Conference
Referred by
Upload Headshot Photo

Cancelof
Disability
What are your disability needs
Presentation Title
Brief summary of what you want to talk about (250 words Minimum)
Billing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Speaker Application Fees

Non-refundable

$100.00 CAD Quantity
Item subtotal:

Enter coupon

Subtotal

Tax

Total