Speaker/Musician Application

E-Mail AddressRequired.

First NameRequired.

Last NameRequired.

Stage Name

Street AddressRequired.

Street Address (line 2)

CityRequired.

StateRequired.

Zip CodeRequired.

Country

Phone NumberRequired.

Alternate Phone Number

How did you hear about us?

Are you an author?

Will you be needing to sell books?

Do you also desire to be an exhibitor?

Website

Facebook

Instagram

Twitter

Youtube

TikTok

Spotify

Soundcloud

Other Website

Preferred Payment TypeRequired.

Address, username or phone number for the payment type you selected (Do not leave blank)Required.

Profile CategoryRequired. Choose the option that fits best.

Name of person, group or title of film, activation, etc.Required. Example: Adrian Vallera

Job title or short descriptionOptional. Example: Disclosurefest Co-founder

Biography or long description Required. For Website.

Workshop TitleRequired if applicable.

Workshop Description Required if applicable.

Additional Notes Optional. Include anything else you think we should know, or links to downloads, etc.

Upload your photos

Optional. Max 5 files. 10MB file size limit.

Only click the submit button once. It could take a few minutes if your file upload is large.