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.
Your Name (required)
Your Email (required)
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.
Your Facebook URL
Your YouTube URL
Your Linked In URL
Your Twitter URL
Your speaker page will include a full length bio that is limited to 2,000 characters.
Your Speaker Bio (limit 2000 characters)
If you would like a title to be displayed beneath your name, please add it below. For example, "author", "psychic", "paranormal researcher", etc.
Your Speaker Title
Please attach the photograph you would like to have posted as your bio photo. Maximum size = 5MB. Acceptable file types: jpg, jpeg, png, gif.
By selecting this box you are granting permission to Wholistic Connections, LLC to make public on their website the information and files you have submited.