REGISTER AS A SPEAKER

Thank you for accepting your invitation to speak at the Biohacker Summit. Fill this form to provide us everything we need to proceed with the speaking engagement.

FILL THE FORM TO REGISTER

Please fill this form soonest so we can confirm your slot in the program.

Name(Required)

First Last

Email(Required)

Your best email to reach you.

Whatsapp phone number(Required)

Your cell phone number we can use to reach you before and during the event if needed. Please write in international format with country code e.g. +358 in front of the number, no spaces or lines.

Assistants name (optional)

Let us know If someone else can answer our questions.

Assistants email address (optional)

Email address of your assistant.

Company or organization(Required)

Please use brand name or use company name without the Inc. Oy, OÜ or GmbH or similar org. type in the name.

Biography(Required)

One hefty paragraph that best describes you to our audience and makes them want to come to listen to you. We use this on the speaker catalog. Limited to 100 words / 700 characters.

Short bio(Required)

Short title that best describe you. We use this in the program and stage intro videos. Example, and note the format: Biohacker, Certified Nutrition Specialist (CNS), Certified Personal Trainer (NCSF-CPT), Founder @ The Health Blueprint

Citizenship(Required)

We use this to promote where you are from.

Website (optional)

We will link your speaker biography to this page.

X (optional)

We use this to reference you in any social media posts and images from the event. Please type @accountname, not URL.

Instagram (optional)

We use this to reference you in any social media posts and images from the event. Please type @accountname, not URL.

What is your Spirit Animal?

We many use this information in designing your stage introduction artwork.

Photograph (Head shot)(Required)

Accepted file types: jpg, jpeg, png, gif.

Please make sure your head is not cropped and that you look into the camera! Press quality COLOR photograph from at minimum from vaist up. Note that we crop your head only from this photograph. We use this in the speaker catalog.

Photograph (Vaist up)(Required)

Accepted file types: jpg, jpeg, png, gif.

Please make sure your head is not cropped! Press-quality, preferably studio COLOR photograph of you from the vaist or feet up. Blank or neutral background. We use this for creating a "movie poster" of you. If you don't have one, ask someone to take one for you with your phone.

Photograph (Action shot) (optional)

Accepted file types: jpg, jpeg, png, gif.

Press quality photograph showcasing you in your actual activities (standing in your office, running a marathon, working in a lab, injecting yourself with snake venom, flying to space...). We will use this in stage introduction videos. If not available, we will use your head shot

Agreed commitment(Required)

Please select the type of commitment you have agreed to deliver with the organizers.

Presentation

Panel discussion

Fireside chat

Workshop

Art Performance

Musical Performance

Sanctuary facilitator (no own workshop)

Side-event Facilitator

Other

Proposed title of presentation(Required)

Organizers may suggest further edits to your proposed topic.

Proposed title of workshop(Required)

The tentative title of your workshop. You can change this until 14 days before the event (the time when we print the badges with the program on it).

Presentation description(Required)

Please give a brief description to the audience what your talk is going to be about.

Workshop description(Required)

Please provide workshop description so that we can better market it to our attendees.

Special requirements for presentation (optional)

If you have any specific technical requirements for your presentation, specify them here. We run all presentations from a central presentation machine away from the stage (Macbook with Microsoft Powerpoint and Apple Keynote installed). We provide a remote clicker and a stage monitor so that you can see what you are talking about. Presentations are recorded with multiple cameras.

Promotional activities

We are happy to promote you as a speaker before the event in our channels to 40k followers and promotion through videos and articles. The decision to do so is at our discretion. In exchange, we ask you to promote the event on your channels. Please indicate below your availability (will be scheduled separately):

Podcast interview

Online video interview

Article interview by email

Press interview by email or phone

Live interview during the event

Webinar

Terms(Required)

I agree that the conference organizers can use this information in promoting the event and record your presentation(s) for live and recorded distribution in video and audio formats through their channels during and after the event. No compensation is offered for these recordings.

I accept the terms

When submitting the form, make sure it actually submits the content and there are no errors or unfilled fields.

Phone

This field is for validation purposes and should be left unchanged.