Metaverse Safety Week - Roundtable Interest Form

Name *

First

Last

Email *

To Note: Recommended to share your registered email id for Zoom.

Role *

Requesting to be Passive Observer
Requesting to be Active Contributor/Speaker
Pre-approved invite by XRSI
XRSI Affiliates

To Note: 1. Access to speak or contribute is subject to approval by programming committee. || 2. As an observer you would only be able to attend and listen roundtables.

Contributor Type (Choose form the dropdown below) *

Stakeholder Group (Choose form the dropdown below) *

Organization Name

Select a PRIMARY day for participation (Choose form the dropdown below) *

Select a SECONDARY day for participation (Choose form the dropdown below)

Select a TERTIARY day for participation (Choose form the dropdown below)

Would you like to submit a quote later? *

Yes
No

How would you like to attend the event? (Choose form the dropdown below)

To Note: Please send your 5 minute video recording to ‘speakers@xrsi.org’ by 3rd Dec, 23.

LinkedIn profile URL

Twitter handle details

Profile Image Upload

Click or drag a file to this area to upload.

To Note: If your selected Role type is ‘Pre-approved by XRSI’ or ‘Requesting to be Active Contributor/Speaker’ then please submit a headshot. (Its is still subject to approval of your speaker position by the committee, as shared earlier)

If you are representing an organization, would you like to share details for any other POC you would like to appoint for communication different from yourself? (Dropdown List)

Name of POC

Email

Submit any related documents, reports, or resources helpful for the Roundtable

Click or drag files to this area to upload. You can upload up to 5 files.

GDPR Agreement *

I consent to having this website store my submitted information so they can respond to my inquiry.

Lead With Safety: Support Metaverse Safety Week

Metaverse Safety Week is supported by sponsors, partners, and individual contributions. We thank all of them and hope you will join us!

Connect with XRSI

Donate to a safer Metaverse