ASAPA presents

Animethon 2023

July 14 - 16 / 2023 • Edmonton Convention Centre • Edmonton Alberta Canada

Panel Form

Contact Information
Please provide the following information as shown on your government issued photo ID:

First name:

Your legal given name as on government issued ID

Required
Last name:

Your surname as on government issued ID

Required
Preferred name:

How would you like to be addressed?

Optional
Email:

A valid email address so we can contact you

Required
Phone:

Your preferred phone number

Required
Home city:

Please let us know where you're from

Recommended
Event Information
Alias:

Name to print in the guidebook (your own name, alias, group name)

Optional
Event name:

Your event name or title

Required
Event type:

What is your event format?

Required
Rating:

Please refer to the Panel Guidelines for rating descriptions

Required
Duration:

How long will your event run?

Required
Room size:

Room size not guaranteed, but we will try our best to accommodate

Optional
Room layout:

Not guaranteed, but we will try our best to accommodate

Optional




Tell us about your Event or Panel:
Please provide a detailed explanation of your idea, what you wish to do, how you will engage your audience. All information provided will be used for selection process Required

Guidebook Description (150 characters max):
Please provide a short description for the printed guidebook Required
Co-Panelist Information
If you have a co-panelist please provide their details here. One co-panelist only please.

Co-panelist:

Do you have a co-panelist (one) assisting you?

Required Yes No


Technical Information
We will NOT provide laptops, panelists are expected to bring their own equipment. Please refer to the Panel Guidelines for further information (Other requests: Submit specific details in the Tell us about your Event or Panel box above for approval).

Audio required:

Audio (for any device with audio-out)

Required Yes please No thanks
Video required:

Video (HDMI/VGA devices)

Required Yes please No thanks
Availability Information
Your availability:
When would you be able to hold your panel? (tick those that apply)
  • 10:00 AM to 12 noon
  • 12 noon to 3:00 PM
  • 3:00 PM to 6:00 PM
  • 6:00 PM to 9:00 PM
  • 9:00 PM to 12 midnight
We will try to accommodate your preferred time if your panel has been accepted, but this is not guaranteed.
Friday: 10:00-12:00 12:00-15:00 15:00-18:00 18:00-21:00 21:00-00:00 All Day
Saturday: 10:00-12:00 12:00-15:00 15:00-18:00 18:00-21:00 21:00-00:00 All Day
Sunday: 10:00-12:00 12:00-15:00 15:00-18:00 All Day
Required

Time conflicts:

Are you involved with another event (eg Cosplay) or hosting another panel?

Required Yes No


Additional Information
Additional Information:
Any other details you would like us to know? Such as personal experience, social media references or other useful information for us to consider for panel selection?
Recommended
Signature of Event Host
By checking this box, you agree to abide by all Animethon policies and have read, understood and agree to abide by the Panel Submission Guidelines and Rules.

Once your submission is received, a confirmation email will be sent to the email provided above. Please review to ensure all information provided is correct. If you do not receive a confirmation email, please check your junk / spam or email the live events team.

If you need to correct any information on this form, email webdev@asapa.ca. Do not resubmit this form. Thank you.

Signature

Use finger or mouse to sign recognisably, use the whole area.
Clear


Printed:

Please type your name

Required


Date:

Date




Required We require this information in order to proceed.
Recommended While we do not require this information it would definitely assist us which could in turn help you.
Optional We do not require this information but we may find it helpful.