Panelist Application

User information

• First name
• Last name
• Email
• Gender
• Birthday
• Address

Additional information

• Panel Name
• Co-Panelist #1 Legal Name
• Do you have a co-panelist to enter? (Co-Panelist #1)
• Co-Panelist #1 - Preferred Name
• Do you have another co-panelist to enter? (Co-Panelist #2)
• Do you have another co-panelist to enter? (Co-Panelist #3)
• Do you have another co-panelist to enter? (Co-Panelist #4)
• Do you have another co-panelist to enter? (Co-Panelist #5)
• Do you have another co-panelist to enter? (Co-Panelist #6)
• How would you use/distribute your Prize Points during your Panel?
• Do you have another co-panelist to enter? (Co-Panelist #7)
• Description
• Panel Style
• Will your panel contain visual or auditory media?
• Rating
• Attendance
• Will you need us to provide Prize Points for prizes?
• Tech Needs
• Preferred Day
• Preferred Starting Time
• Other Conflict(s)
• Please attach your media here
• Co-Panelist #1 - Email Address
• Co-Panelist #1 - Phone Number
• Co-Panelist #1 - Date of Birth
• Panel Duration
• Setup & Tech Check Time
• Time Constraints or Conflicts
• Do you have any ADA needs that we should be aware of, in regards to scheduling, location, etc?
• Starting in 2025, panelists should NOT pre-register for Sakura-Con. The information provided from this submission is what we will use to issue comped badges to you AND your co-panelists. *If a panelist is uncomfortable with sharing their personal information with the main panelist, please add their email address when listing co-panelists and have them email the required information to Panels@sakuracon.org.
• Have you read the Panels FAQ and the Membership Expense Coverage and do you understand their contents? Please note that there have been changes made to last year's policies.
• Co-Panelist #2 Legal Name
• Co-Panelist #3 Legal Name
• Co-Panelist #4 Legal Name
• Co-Panelist #5 Legal Name
• Co-Panelist #6 Legal Name
• Co-Panelist #7 Legal Name
• Co-Panelist #2 - Preferred Name
• Co-Panelist #3 - Preferred Name
• Co-Panelist #4 - Preferred Name
• Co-Panelist #5 - Preferred Name
• Co-Panelist #6 - Preferred Name
• Co-Panelist #7 - Preferred Name
• Co-Panelist #2 - Email Address
• Co-Panelist #3 - Email Address
• Co-Panelist #4 - Email Address
• Co-Panelist #5 - Email Address
• Co-Panelist #6 - Email Address
• Co-Panelist #2- Phone Number
• Co-Panelist #3 - Phone Number
• Co-Panelist #4 - Phone Number
• Co-Panelist #5 - Phone Number
• Co-Panelist #6 - Phone Number
• Co-Panelist #7 - Phone Number
• Co-Panelist #3 - Date of Birth
• Co-Panelist #4 - Date of Birth
• Co-Panelist #5 - Date of Birth
• Co-Panelist #6 - Date of Birth
• Co-Panelist #7 - Date of Birth