Panel Submission Form Panel Submission Form ProgrammingPlease enable JavaScript in your browser to complete this form.Lead Panelist - Step 1 of 3Lead Panelist Information Every Panel has a Lead Panelist! The Lead Panelist is the person submitting the panel and will be the main point of contact with the AnimeIowa Paneling Team. Please insert all Lead Panelist Information below.Email *EmailConfirm EmailName *FirstMiddleLastName as it would appear on your Federal or State issued ID. Please no badge or nick names in this space.Badge Name *Date of Birth *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Phone *Address *Address Line 1CityStateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeAre you over 18? *Born Before 7/31/2002 (18 and over)Born After 7/31/2002 (under 18)If you were born after 07/31/2002 you must fill out the Emergency contact information below. You can not pick up your badge without this information being filled out. This person is the one we would contact if you were unable to communicate for yourself in case of accident or serious illness. Emergency Contact Name - First and Last - Relation to panelist *Desired panelist name for the Programming Book *Have you already registered for AnimeIowa 2020 (copy) *YesNoDoes your panel have an Assistant Panelist? *YesNoNextAssistant Panelist Information If your panel has 2 or more panelists you must provide a second in command for your panel. If you don't have an assistant please click the "Next" button.Assistant Email *EmailConfirm EmailAssistant Name *FirstMiddleLastName as it would appear on your Federal or State issued ID. Please no badge or nick names in this space.Assistant Badge Name *Assistant Date of Birth *MM123456789101112DD12345678910111213141516171819202122232425262728293031YYYY20232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Assistant Phone *Assistant Address *Address Line 1CityStateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeIs the Assistant over 18? *Born Before 7/31/2002 (18 and over)Born After 7/31/2002 (under 18)If you were born after 07/31/2002 you must fill out the Emergency contact information below. You can not pick up your badge without this information being filled out. This person is the one we would contact if you were unable to communicate for yourself in case of accident or serious illness. Assistant Emergency Contact Name - First and Last - Relation to panelist *Assistant's desired name for the Programming Book *Have you already registered for AnimeIowa 2020 *YesNopick oneAdditional Panelists -Any Additional Panelists? Please Provide the following information for each. 1. Actual name 2. Email 3. Panelist name for program book listing.PreviousNextPanel Submission InformationHere is what you have been waiting for! Please answer the below questions with as much detail as possible. Note that the Paneling Team may edit Panel Titles or Program Book Descriptions if they are too long! Title of the Panel *Panels description for the Program Book - Limit of 200 characters *NOTE: After 225 characters your description will be cut off and replaced with the following shown in parentheses ( ... )Category *Cultural PresentationFandom SpecificCommunityGameshowCosplay RelatedArt & CraftOtherOther: *Does the Panel require any specific materials or layouts? *Projector or ScreenMore than two (2) microphonesPens or PencilsPaperScissorsWhiteboard & Whiteboard MarkersRow seating layoutTable seating layoutStage UsageMain Stage Room UsageOtherOther:Does your Panel contain Mature Content? *YesNoNot SurePlease Provide a Detailed Outline of what your plan for the panel is. The more details provided the better. *Preferences Choices are not guaranteed, but we try our best to get as many panels into their top or second choice as possible. What is your top time slot preferences to hold this panel? *Friday 12:00pm to 4:00pmFriday 4:00pm to 9:00pmSaturday 9:00am to 12:00pmSaturday 12:00pm to 4:00pmSaturday 4:00pm to 9:00pmSunday 9:00am to 12:00pmSunday 12:00pm to 4:00pmLate NightWhat is your 2nd choice time slot preferences to hold this panel? *Friday 12:00pm to 4:00pmFriday 4:00pm to 9:00pmSaturday 9:00am to 12:00pmSaturday 12:00pm to 4:00pmSaturday 4:00pm to 9:00pmSunday 9:00am to 12:00pmSunday 12:00pm to 4:00pmLate NightWhat is your 3rd choice time slot preferences to hold this panel? *Friday 12:00pm to 4:00pmFriday 4:00pm to 9:00pmSaturday 9:00am to 12:00pmSaturday 12:00pm to 4:00pmSaturday 4:00pm to 9:00pmSunday 9:00am to 12:00pmSunday 12:00pm to 4:00pmLate NightPlease Schedule my Panel around the following:Cosplay MasqueradeOpening CeremoniesCafe AiCharity AuctionThe Great DebateSwap MeetOtherOther:End of Panel SubmissionPanel Submissions will be considered on a first come first serve basis. We will contact you via email with your acceptance. Thank you for your submission!I have read and understand the 2020 AnimeIowa Panelist Policy and Guidelines *I Understand and Agree to Abide by the Paneling guidelines and rules.PreviousNameSubmit
