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APFM 2024 Conference Speaker Agreement
Are you a Solo Presenter, Panel Moderator or 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.
0 of 250 max words
Please include your short professional bio - no more than 250 words

Maximum file size: 2MB

Please upload your most current professional headshot (in JPEG or PNG format). If you are unable to upload through this form for any reason, please email your headshot ASAP to: [email protected]

Speaker Agreement

Please confirm your agreement with the statements below.
Participation *
Technology *
Expenses *
Registration *
Notification *
For questions, please contact APFM at [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 *
Copyright Ownership of All Conference Recordings *
Understanding *

Questions, please contact:

Kacy Wiant, APFM Administrator
[email protected]

Signature and Agreement Submission

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