Speaker Registration

Speaker Job Title or Certification(Required)

Speaker Email(Required)

Phone(Required)

Company Name(Required)

Speaker Brief Bio and/or Areas of Expertise(Required)

Please upload a .pdf, .jpg, or .png photo of yourself(Required)

Accepted file types: jpg, png, pdf, Max. file size: 128 MB.

Proposed Topic / Themes

What topics or themes would be discussed?(Required)

Please indicate the proposed topic and/or key themes you would like to address as a speaker.

What key skills would be taught? What would the main take-aways be?(Required)

What are the key skills and practices students can incorporate in their grooming practice or business management?

Previous Speaking Experience

Speaking Experience(Required)

Please share the details of your past speaking experiences. Please include links, videos, audio, or articles about your past speaking engagements.

Reference #1

Please provide three references, (including contact information) familiar with your speaking engagements (I.e., event organizer, certifier, or educator)

Phone(Required)

Email(Required)

Relationship to the speaker(Required)

Reference #2

Phone(Required)

Email(Required)

Relationship to the speaker(Required)

Reference #3

Phone(Required)

Email(Required)

Relationship to the speaker(Required)

Wrapping Up

Please feel free to include any additional supporting documents, such as your resume or certificates and degrees.

Accepted file types: jpg, png, pdf, Max. file size: 128 MB.

Speaker Registration Form

Proposed Topic / Themes

Previous Speaking Experience

Reference #1

Reference #2

Reference #3

Wrapping Up