2027 Safe Kids North Carolina Conference Speaker Request

2027 Safe Kids North Carolina Conference Speaker Request
Primary Speaker's Name

First NameLast Name
Company Name as Applicable. If not applicable place a N/A in the box.
City
State
Phone Number
Format: (000) 000-0000.
E-mail

Confirmation Emailexample@example.com
The title of your session is the first impression for Conference Attendees. Use a concise, but inclusive, title which clearly conveys what you will be presenting and draws attendees' attention to your topic.
Title of Your Session:
Category
Category Not Listed
Abstract: Your session abstract will tell Conference 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.
Bio for Speaker # 1
Speaker Name # 2
Bio for Speaker # 2
Presentation Type
Preferred Date and Time (Select All That Apply)
Length of Presentation
Will the speaker be providing a laptop for their presentation.
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Submitted By
Should be Empty: