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Tell us about your idea: |
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What sort of programming do you want to bring to Otakon?*
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Tell us about yourself |
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I agree
I do not agree
By providing your information in the following fields, you agree that you will be treated as the primary presenter and organizer for this submission. All correspondence with Otakon Staff regarding this submission will take place with you, using the information you provide. Be accurate!
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Name*
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Street Address*
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City*
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State/Province*
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Zip/Postal Code*
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Country
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Phone Number*
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Email Address*
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Date of Birth XX/XX/XXXX*
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| Will you be at least 18 years of age as of July 27, 2012? |
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Yes
No
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| Have you pre-registered for Otakon 2012? |
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Yes
No
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If so, please provide your Member ID Number from when you Pre-Registered.
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| Which best describes you? |
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| Are you representing a fan organization or group? |
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Yes
No
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If so, please provide the name of the organization.
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| Please provide your name or group name as you would like it to appear in Otakon Programming Materials. |
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If you or your group have prior experience, please provide the following information:
Programming type:
Programming name:
Year(s) Presented:
Event(s) Presented at:
Links to recordings of your presentation(s) are welcome. |
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Characters left: 1024  |
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Additional Presenters:
Will you have additional people helping with your presentation?
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Yes
No
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I agree
I do not agree
You are allowed as many additional presenters as you wish. However, only TWO (2) additional presenters will receive Complimentary Memberships to Otakon 2012.
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| Additional Presenter #1 |
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Name
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Street Address
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City
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State/Province
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Zip/Postal Code
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Country
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Email Address
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Date of Birth XX/XX/XXXX
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| Will they be at least 18 years of age as of July 27, 2012? |
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Yes
No
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| Have they pre-registered for Otakon 2012? |
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Yes
No
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If so, please provide their Member ID Number (if known)
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| Additional Presenter #2 |
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Name
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Street Address
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City
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State/Province
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Zip/Postal Code
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Country
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Email Address
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Date of Birth XX/XX/XXXX
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| Will they be at least 18 years of age as of July 27, 2012? |
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Yes
No
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| Have they pre-registered for Otakon 2012? |
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Yes
No
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If so, please provide their Member ID Number (if known)
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All other presenters
Please provide the names of any other person(s) who will be helping you with your presentation.
Note: All additional presenters are required to check in with Otakon Programming and sign a waiver form before they will be allowed on stage. No exceptions to this rule will be made! |
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Characters left: 1024 |
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OK, Back to your Idea... |
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Presentation Name*
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As you would like it to appear in Otakon Programming Materials.
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Description*
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As you would like it to appear in Otakon Programming Materials.
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I agree
I do not agree
I acknowledge that information entered into the field above is subject to final editing by Otakon Staff. Reasons for editing include (but are not limited to): Spelling/grammar correction, length (as defined by Program Book), & appropriateness of content.
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Does this presentation contain 18+ content?*
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No
Yes
18+ Programming may contain graphic or obscene material unsuitable for minors, and is generally scheduled late in the evening. If you are unsure of whether your content is 18+, it probably is. Please err on the side of caution. If content submitted as
"not 18+" is found to contain 18+ material, Otakon Staff reserves the right to shut down the presentation in progress. Content shut
down while in progress will not be considered successfully run, and may lead to denial of membership reimbursements and future content submissions.
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| Have you presented this content before? |
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| Why should your presentation be a part of Otakon 2012 Programming? |
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Characters left: 1024 |
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| Other than the standard room equipment, do you have technical or special requests? |
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Characters left: 1024
Standard room equipment consists of: chairs, a stage with a table and chairs for panelists, microphones and speakers for panelists, cables (male
stereo mini cable for audio and a male vga cable for video) to connect your computer to the projector, a digital projector, and a wireless microphone. Please note that while we will try our best to meet your needs, we may be unable to honor your request.
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| Do you have any questions that this form or the panels page of the website has not answered? |
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Characters left: 1024 |
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