APFM 2022

Panelist and Moderator Agreement

2022 Speaker Agreement & Release - Rev 2 Reduced
Are you a Moderator or a Panelist?

Speaker Info

This will be listed on all conference materials.
This will be listed on all conference materials. Please include all designations.
We need a phone number to which we can text you on the day of the session.
Address
Address
City
State/Province
Zip/Postal
Country

Section for Moderators

Presentation Content - Moderators Complete

Speaker Agreement

Participation *
Technology *
Expenses *
Registration *
Notification *
For questions, please contact APFM at conference[email protected] or 802-823-2566.
Content *

Release

I AGREE THAT THE ACADEMY OF PROFESSIONAL FAMILY MEDIATORS MAY:
Use of Name and Bio *
Use of Content *
Use of Content for Members *
Understanding *

Questions, please contact:

Kacy Wiant, APFM Administrator
[email protected]

Signature and Agreement Submission

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