Speaker Registration

Speaker Registration Form

Please complete this form to register as a speaker for your event.  All information collected in this form will be posted on the Wholistic Connections website for your speaker bio profile.

Social Media Pages

If you would like us to add links to your social media pages, please complete the following. Leave blank any boxes you do not have accounts for or would not like posted publicly on your speaker bio webpage.

Speaker Bio Text

Your speaker page will include a full length bio that is limited to 2,000 characters.

Speaker Title

If you would like a title to be displayed beneath your name, please add it below. For example, "author", "psychic", "paranormal researcher", etc.

Speaker Photo

Please attach the photograph you would like to have posted as your bio photo. Maximum size = 5MB. Acceptable file types: jpg, jpeg, png, gif.