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Speaker Onboarding Form
Please fill in your information.
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General Information
Quick general overview of who you are and what your talk is about!
Name
*
First
Middle
Last
What is your time zone?
(UTC-12:00) International Date Line West
(UTC-12:00) International Date Line West
(UTC-11:00) Coordinated Universal Time-11
(UTC-10:00) Hawaii
(UTC-09:00) Alaska
(UTC-08:00) Baja California
(UTC-08:00) Pacific Time (US and Canada)
(UTC-07:00) Chihuahua, La Paz, Mazatlan
(UTC-07:00) Arizona
(UTC-07:00) Mountain Time (US and Canada)
(UTC-06:00) Central America
(UTC-06:00) Central Time (US and Canada)
(UTC-06:00) Saskatchewan
(UTC-06:00) Guadalajara, Mexico City, Monterey
(UTC-05:00) Bogota, Lima, Quito
(UTC-05:00) Indiana (East)
(UTC-05:00) Eastern Time (US and Canada)
(UTC-04:30) Caracas
(UTC-04:00) Atlantic Time (Canada)
(UTC-04:00) Asuncion
(UTC-04:00) Georgetown, La Paz, Manaus, San Juan
(UTC-04:00) Cuiaba
(UTC-04:00) Santiago
(UTC-03:30) Newfoundland
(UTC-03:00) Brasilia
(UTC-03:00) Greenland
(UTC-03:00) Cayenne, Fortaleza
(UTC-03:00) Buenos Aires
(UTC-03:00) Montevideo
(UTC-02:00) Coordinated Universal Time-2
(UTC-01:00) Cape Verde
(UTC-01:00) Azores
(UTC+00:00) Casablanca
(UTC+00:00) Monrovia, Reykjavik
(UTC+00:00) Dublin, Edinburgh, Lisbon, London
(UTC+00:00) Coordinated Universal Time
(UTC+01:00) Amsterdam, Berlin, Bern, Rome, Stockholm, Vienna
(UTC+01:00) Brussels, Copenhagen, Madrid, Paris
(UTC+01:00) West Central Africa
(UTC+01:00) Belgrade, Bratislava, Budapest, Ljubljana, Prague
(UTC+01:00) Sarajevo, Skopje, Warsaw, Zagreb
(UTC+01:00) Windhoek
(UTC+02:00) Athens, Bucharest, Istanbul
(UTC+02:00) Helsinki, Kiev, Riga, Sofia, Tallinn, Vilnius
(UTC+02:00) Cairo
(UTC+02:00) Damascus
(UTC+02:00) Amman
(UTC+02:00) Harare, Pretoria
(UTC+02:00) Jerusalem
(UTC+02:00) Beirut
(UTC+03:00) Baghdad
(UTC+03:00) Minsk
(UTC+03:00) Kuwait, Riyadh
(UTC+03:00) Nairobi
(UTC+03:30) Tehran
(UTC+04:00) Moscow, St. Petersburg, Volgograd
(UTC+04:00) Tbilisi
(UTC+04:00) Yerevan
(UTC+04:00) Abu Dhabi, Muscat
(UTC+04:00) Baku
(UTC+04:00) Port Louis
(UTC+04:30) Kabul
(UTC+05:00) Tashkent
(UTC+05:00) Islamabad, Karachi
(UTC+05:30) Sri Jayewardenepura Kotte
(UTC+05:30) Chennai, Kolkata, Mumbai, New Delhi
(UTC+05:45) Kathmandu
(UTC+06:00) Astana
(UTC+06:00) Dhaka
(UTC+06:00) Yekaterinburg
(UTC+06:30) Yangon
(UTC+07:00) Bangkok, Hanoi, Jakarta
(UTC+07:00) Novosibirsk
(UTC+08:00) Krasnoyarsk
(UTC+08:00) Ulaanbaatar
(UTC+08:00) Beijing, Chongqing, Hong Kong, Urumqi
(UTC+08:00) Perth
(UTC+08:00) Kuala Lumpur, Singapore
(UTC+08:00) Taipei
(UTC+09:00) Irkutsk
(UTC+09:00) Seoul
(UTC+09:00) Osaka, Sapporo, Tokyo
(UTC+09:30) Darwin
(UTC+09:30) Adelaide
(UTC+10:00) Hobart
(UTC+10:00) Yakutsk
(UTC+10:00) Brisbane
(UTC+10:00) Guam, Port Moresby
(UTC+10:00) Canberra, Melbourne, Sydney
(UTC+11:00) Vladivostok
(UTC+11:00) Solomon Islands, New Caledonia
(UTC+12:00) Coordinated Universal Time+12
(UTC+12:00) Fiji, Marshall Islands
(UTC+12:00) Magadan
(UTC+12:00) Auckland, Wellington
(UTC+13:00) Nuku'alofa
(UTC+13:00) Samoa
Speaker Email Address
*
Additional Email Address
(PR, Assistant, or other email address who we should cc)
Phone
We won’t contact you via phone unless it’s impossible to reach you differently.
Position
*
e.g. Marketing Manager, CEO, Contributor, Dean…
Company Name
*
Bio
*
Please write a short bio introducing a little bit about yourself. Please write this in third-person.
Headshot
*
Click or drag a file to this area to upload.
Headshot images at least 600x600px
Why is Metaverse Safety important to you?
What is your support statement for the week? (Max. characters 180)
Social Media Handles
Facebook
Instagram
Twitter
Linkedin
Personal Website
Other social media
Write the social media platform and your handle. (eg. Reddit – @xrsidotorg)
Last but not least…
Do you want us to use your company logo in our communications?
No
Yes, and I am uploading it
Yes, and I am providing you the link
Upload your company's logo
Click or drag files to this area to upload.
You can upload up to 2 files.
Upload your logo. If possible, share with us a dark and a light version.
Link to your company's logo
Provide the URL to your company’s logo. If possible, share with us a dark and a light version, comma separated
Company Website
Logo usage consent
*
I grant the XR Safety Initiative (XRSI) the right to use my company’s logo in the Metaverse Safety Week official communication, including website, promotional documents, and social media
By checking this box, you and/or your company grants to the XRSI – X Reality Safety Intelligence a non-exclusive, royalty free, license to use the Company logo(s) in the Metaverse Safety Week’s advertising, literature and websites solely in connection with the promotion of the event, the speaker, and the related activities.
Accessibility needs
Please let us know if you have any accessibility needs, so we can do our best to make this a great experience for you.
Anything left unsaid? Use this space to share any thoughts with us:
Agree to the Photo and Video Release
*
Agree to the Photo and Video Release
*
I, the undersigned, do hereby expressly and irrevocably consent to be photographed and/or audio taped at Metaverse Safety Week 2024. I agree that the XRSI – X Reality Safety Intelligence (“Producer”) will own any and all rights in said photography and I waive any and all uses of my name, likeness, voice, or character, or any combination thereof, in any manner or in any media, as desired by Producer, its contractors, agents and employees, including but not limited to, the right to reproduce, distribute, transmit, publish, exhibit, or otherwise use the above titled production or any portion thereof. I understand that in proceeding with said photography, Producer is doing so in full reliance on the foregoing permission. I hereby release whatever rights, title or property interest I may have in the production, or so much of it pertains to me. I understand I shall receive no compensation for my appearance and participation in the photography and videography being produced. Further, I agree to hold Producer, its contractors, agents and employee harmless against any liability, loss or damage (including reasonable attorneyʼs fees) caused by or arising from the exhibition or telecast of my appearance in the production, or any utterance made by me in connection with my participation therein.
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