Guest Speaker Sign-Up Form
Please provide your details to be considered as a potential speaker for our event. We are in need of panelist as well as workshop/session speakers.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Business Name
Facebook:
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Instagram:
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Tiktok:
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Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Brief Bio or Background
*
Proposed Topic or Area of Expertise
Wellness/ Self Care
Branding & Content
Business Coach or Strategist
Successful Entreprenuer
Mindset/ Motivation Speaker
Financial/ Business Operations Expert
Other
Please upload a headshot or photo that represents you well.
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Additional Comments or Questions (optional)
We understand that professionals in this industry have busy Saturdays. Are you able to commit to a full day event on Sunday, January 17, 2027?
Yes
No
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