Contact Information

* indicates required field


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* 



  • 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)*: