Programme Participant Survey

About you
Title
Personal
Family
If you would like to be identified under a different name in publications, please specify here.
For publishers
Would you be interested in a book launch at Ytterbium?
Programme suggestions
People you would like to hear from, topics you would like to see discussed. You can also email programme@ytterbium.org.uk with ideas.
Volunteering as a programme participant
Please indicate what topics you are interested in discussing
If there are topics not listed above that you would like to discuss, or if you would like to provide additional details on topics selected above, please add here.
Please let us know if there is anyone you particularly want to be on a panel with, or who you would prefer to avoid (this information will only be seen by the programme team).
How many programme items are you willing to take part in?
Availability: please indicate your availability at the convention
Are you interested in offering any of the following:
Workshops
We welcome any suggestions for movement workshops, craft workshops, writing workshops or other activities. We are allowed to have cooking facilities. Please provide details of your workshop idea.
Moderating
Recording/Photography/Filming
We may wish to photograph or film some events. Please guide us: if you appear on the programme, are you willing to be recorded,
Access
This will be kept confidential within the convention team that need to know.
Would and wouldn't like to see
More about you
We would like to publicise your participation on the programme. Please provide a short biography.
Please upload a photo to accompany your biography.
One file only.
2 MB limit.
Allowed types: png gif jpg jpeg.
Images larger than 1024x1024 pixels will be resized.
Age for programming purposes
We are working towards panel parity. To help us with this, please let us know what you would like to tell us abour your gender or other aspects of your identity. This will be used only for programming.
In addition to your public biography above, is there anything else you would like to tell us? This can be of a hobby, something only you have done, or an issue you need addressed to ensure participation is comfortable.