Contact Information



* indicates required field


Name*:  


Street Address*:   




City*:  Province*:  Postal Code*: 


Phone Number*:  Email*: 




Panel Information

Panel Title*:


Panel Date* (Please check all that apply)

 Saturday May 4, 2019

 Sunday May 5, 2019


Panel Description*:



Panel Type*:


If "Other", please describe:


Genre of Panel*: Please choose up to three (3)

 1.)   2.)  3.)
If "Other", please describe:

If "Other", please describe:
If "Other", please describe:
 
 
Franchise (Harry Potter, Star Wars, Dr. Who, etc.): 


Please describe your previous panel experience*:

 


Do you need Fog City Comic Con to provide a moderator for this panel?*  Yes   No 


Do you require any AV equipment for your panel?*  Yes   No


If "Yes", please describe your needs in detail:


 

Additional scheduling or room requirements:


 


 I understand that the deadline for my application is Friday April 5, 2019 at 5:00pm* 

 

THE SMALL PRINT

  • To facilitate the selection process, we ask that you complete the application in full by providing as much detailed information as possible.
  • Submitting this form is meant solely as a programming request to be reviewed by Fog City Comic Con and DOES NOT guarantee you a spot in the programming lineup.
  • Please be aware that we may need to limit the number of panelists per panel.
  • Please note that all panel slots are 45 minutes long, unless otherwise noted.
  • Please note that only chosen panels will be contacted.
  • Submissions will close on Friday April 5, 2019 at 5:00pm.




 Applicant Name*:    Date (DD-MM-YYYY)*: