General Assembly – Speaker Agreement & Information Form

First Name *

Last Name *

Organization *

Title *

Email *

Cell Phone *

Biography

If you have not already, please submit a short biography (200 words or less) that can be used in conference marketing, event app, and session introductions.

Upload a Photo *

Please upload a photo that we can use in marketing emails, programs, and the mobile app.

20MB max

Do you plan to bring a guest to the Strolling Dinner?

As an attendees, you are invited to bring a guest to the Strolling Dinner on Monday, March 9, 2026 at 6:30 PM. If you plan to bring a guest, please enter their name here.

Session Title

If you wish to change the title of your session, please enter your new title here.

Session Description

Do you have any suggested changes to the session description found in the program here?

Do you plan to have a PowerPoint presentation or similar? *

Enter required value Yes No

I agree to speak during the time and day listed in your speaker information email. *

I agree to speak on the topic listed in the speaker information email. *

I understand and agree to comply and meet the deadlines set forth in the logistical email. *

I agree to the Honorarium and/or Travel Reimbursement Policy outlined in the logistical email? *

I agree to help find a replacement speaker, should I find that I can no longer participate. *

I permit CALAPRS to share the PDF version of my presentation with registered attendees. *

Do you require a hotel room for your speaking engagement? *

Enter required value Yes No

Check-in Date

Check-out Date

Room Type

King Queen/Double

Additional Room Requests (i.e. roll away bed, late check-out, etc.)

Requests are not guaranteed. Any additional costs will be the responsibility of the guest.