| *Your Name: |
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| *Your Email: |
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| Postal Address: |
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| Please specify areas of interest: |
| Literature in English |
| Literature in French |
| Academic Track |
| Fan Track |
| Media (TV/Film/Anime/Animation, et cetera) |
| Gaming (specify interests) |
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| Visual Arts (specify interests/skills) |
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| Human Culture (politics, sociology, history
) |
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| Costuming and Craft |
| Filk |
| Science and Technology |
| Children’s and YA Programme |
| (please indicate any specific experience) |
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| Quizzes, panel games et cetera |
| Creative Writing workshops |
| Kaffeeklatsch |
| Reading |
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| Do you speak French? Yes: |
| Another language? (please specify): |
| a. Are you willing to speak on panels in French? Yes: |
| b. Are you willing to take part in a panel in French if provided with an interpreter? Yes: |
| Would you be willing to moderate panels? Yes: |
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| In what areas or subjects do you have special knowledge? |
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| What interests you so much you really, really want to talk about it? |
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| What do you really like to read? |
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| What do you really like to watch? |
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| What do you really like to listen to? |
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| Are there any subjects you really do not want to talk about? |
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| Is there anyone you do not wish to be programmed with? |
| (This will be kept completely confidential.): |
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| Do you have skills or knowledge you would like to demonstrate or give a presentation on? (Anything from wool spinning to sword making; if we can accommodate it, we are interested.) |
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| Is there any special help or consideration that we will need to provide? |
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| Do you have any recent works (publication, performance, art, et cetera) that you would like to mention? |
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| Please include a short biography (100 words or less) which we can use for the programme book. |
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| PRACTICALITIES |
| * What is the maximum number of items you wish to be considered for? |
| 1 per day: 2 per day: 3 per day: 4 per day: 5 per day: |
| Other: Explain: |
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| Are you staffing or participating in the Masquerade? Yes: |
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| Please indicate your availability below. |
| NOTE: No one will be scheduled in back-to-back sessions between 12pm and 2pm. |
