Programming Participant Questionnaire

If you are interested in participating in programming, please fill out what you can now (including the four required fields). We’ll contact you closer to the con to find out information you don’t have now. Capricon policy is that all panelists purchase a membership prior to the convention. Participants who take part in the requisite number of convention activities may be eligible for membership reimbursement.

Name: (*)
Preferred Method of Contact:
Email Address: (*)
Home Phone Number:
Cell Phone Number:
Mailing Address:
City:
State:
ZIP Code:
Website:
I am willing to do Teen Programming.
I am willing to do Children Programming.
Brief Biography: (Including your bio, providing information about or activities and interests, will lead to better placement on panels as it provides the programming staff with a greater understanding of who you are.)

Day Job:

Select the categories that you feel apply to you:

Actor — Artist
Author — Conrunner
Costumer — Editor
Fan — Filker
Publisher — Scientist

Arrival Date/Time:
Departure Date/Time:
How Early Can We Program You?
How Late Can We Program You:
Maximum Panels per Day:
Maximum Panels Overall:

People You Do Not Want to Be On a Panel With:
Panels You’ve Wanted to Do and Never Had the Chance to Do:
Panel Ideas You Are Sick and Tired Of:
Check this to give us permission to share your information with any co-panelists.
Check this to give us permission to record (audio and/or video) your panels.

Programming Participant Questionnaire

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