Thanks for your interest in presenting at Canoecopia.

If you have more than one topic you would like to present, you will need to complete one form for each topic (important for our data management). We will be reviewing submissions through early December. We will be in touch after the application period closes to let you know if your proposal has been accepted.

Upon successful completion, you should immediately get an auto-email confirming your submission. If you do not receive this email, it may mean that something went wrong and we did not receive your proposal. Please note: We HIGHLY recommend completing this form on a desktop or laptop computer, and not a tablet or phone. If you don't get a confirmation email, please contact Darren at darrenb@rutabaga.com.

Many thanks,

Darren Bush
Rutabaga Paddlesports
darrenb@rutabaga.com

	Primary Presenter
§ * First Name:
§ * Last Name:
Pronouns:	-- choose --she/herhe/himthey/themotherprefer not to say
* Street Address:
* City, State, ZIP:
* Country:
* Cell Phone:
Other Phone:
* Email:
§ Website:
§ Facebook:
§ Instagram:
	Please write your bio as you would like it to appear on the Canoecopia website. Revisions can be made until mid December
§ * Bio: 0 characters (200-1500 characters)
	Presentation and other info Please write a paragraph describing your presentation. If selected, this is what will appear in the show guide and will help participants choose which sessions to attend. Ideally this should be written in third person (ex. "She paddled the canoe" vs "I paddled the canoe"). Rutabaga may edit this for clarity and consistency. If you would like to submit additional information to support your proposal, please add it in the "Comments/Additional Information" box at the end of this form.
§ * Presentation Title:
§ * Presentation Description: 0 characters (200-1500 characters)
* Why do you want to present at Canoecopia?
* Briefly describe your previous speaking experience:
	Additional Presenters Please include contact information for anyone who will be presenting with you.
	Add Additional Presenters
§ First Name:
§ Last Name:
Email:
§ Biography: 0 characters (200-1500 characters)
§ First Name:
§ Last Name:
Email:
§ Biography: 0 characters (200-3000 characters)
§ First Name:
§ Last Name:
Email:
§ Biography: 0 characters (200-3000 characters)
§ First Name:
§ Last Name:
Email:
§ Biography: 0 characters (200-3000 characters)
	Presentation Format Please select the format that best suits your presentation.
* Presentation Format:	Lecture - Theater-style seating with screen in front, room sizes vary. Appropriate for slide presentations, "show & tell", etc. Room can be darkened for AV.     Open Space - Chair arrangement flexible in rows or around perimeter: open space for audience to try equipment, audience surrounding central demonstration, etc. Space cannot be darkened for AV.     Drop-In Clinics - Informal "show & share" conversations and demonstrations that are on-going for a 3-hour period on Saturday. Appropriate for topics such as building a paddle, tying knots, repairing gear, etc.     Pool - Demonstration of boats or technique. Audience surrounds pool on deck. Pool sessions are 20 minutes in length.
	We have a limited speaker budget, and financial requests do factor into our decisions. Please include your amount requested and any other pertinent information regarding your stipend request.
Stipend Request?:
	Technical An LCD projector with sound and an HDMI input is provided at the event. You must provide your own computer and cabling. Presenters should plan to show DVDs through their computer. Please select which you are bringing.
* Your Computer:	none      PC      Mac
	If you are not available all day Friday, Saturday and Sunday for in-person show hours please provide details below.
Limited Availability?:
	Do you intend to sell your book(s) and/or DVD(s) at Canoecopia?
*	no      yes
	Are you sponsored by an exhibitor who will have a booth at Canoecopia? If so, whom?
Exhibitor:
	Age Group
Age Group:	-- choose --35 and younger36-5051-6565+prefer not to say
	Is there anything else you would like us to know or that would help us with the selection process?
Comments/Additional Info: