Speakers Registration Form * First Name * Last Name * Email * Gender Male Female Other* Phone * Emergency Contact * Do you require parking? Yes No* What is your room preference? Single Room Shared Room No Room Needed* Do you have dietary restriction? None Vegetarian Glutten Allergy Lactose Allergy Nut Allergy Shellfish Allergy* What activity will you attend? Award Gala Dinner Lunch Town Hall* Do you want to see the list of other attendees and their profiles on the official event app? Yes NoRegister