Name * First Name Last Name Event Date(s) * Will you have a traveling companion? * Yes No If so, what is their name and relationshp? * Contact Phone * (###) ### #### Email * Shirt Size * S M L XL 2XL 3XL Room Accomodations Duration of Stay * Name(s) of individuals needing above accomodations * Please indicate if multiple rooms are needed for coed purposes * Speaking Which type of microphone would you prefer? * Head Mic Handheld Mic What type of podium would you prefer? * Cafe Table iPad Stand Podium Creative Elements Please send all screen elements (i.e. scriptures references, key thoughts, pictures or video files) via email or Dropbox. We ask that you would either have these elements listed in the order they will be used or that you would send us your message notes indicating that order. When using scripture references, please indicate which version you will be using. We ask that all screen elements and a list of props are sent two weeks in advance of speaking so we can ensure they will be ready for presentation at the time of the gathering. Do you have any illustrations that our production team will need advanced notice? * i.e. Light Cues, Sounds, Props, etc Recording Release By checking “I Agree” to this box, you are giving We Are One and Gateway Assembly authorization to release audio/video of your presentation on all of our social platforms. I hereby consent to the recording of my ministry by We Are One and Gateway Assembly and subsequent reproduction and sale of the presentation and further release of all rights and claims with respect thereto. * I agree For any future questions or needs you many have, you can contact our encounter coordinator, Clarissa Novak, at clarissa@weareoneconf.com Thank you!