Presenter/Speaker InfoThe presenter information provided in this form will be used on Creative Manitoba’s website, newsletter and social media for program promotion and marketing. Program/Workshop Title(Required) Your Name (Full name you wish to go by professionally, and when credited publicly)(Required) Email(Required)Your email will not be made publicly available or used in any of the content created for the website, newsletter, or social media. Phone(Required)Your phone number will not be made publicly available or used in any of the content created for the website, newsletter, or social media. Pronouns Short bio or artistic statement (max 100 words)(Required)Website Social Media ChannelsMediaImage 1 – A photo of you(Required)If you have a way you’d like the images alt-text described please add it in the field below, if not Creative Manitoba will generate one based on our alt-text guidelines.FileAccepted file types: jpg, jpeg, png, gif.Alternative TextImage 2 – Sample of your workIf you have a way you’d like the images alt-text described please add it in the field below, if not Creative Manitoba will generate one based on our alt-text guidelines.FileAccepted file types: jpg, jpeg, png, gif.Alternative TextTitleImage 3 – Sample of your workIf you have a way you’d like the images alt-text described please add it in the field below, if not Creative Manitoba will generate one based on our alt-text guidelines.FileAccepted file types: jpg, jpeg, png, gif.Alternative TextTitleAccessibilityPlease let us know of any of your access needs. This could be accessibility or mental health related, anything you would like to share so we can better support you. Food Allergies (if applicable)Please list any food restrictions or allergies (if applicable to the program) Media ConsentI hereby grant my permission to Creative Manitoba Inc., to use the photograph(s) provided by me for program promotion on the Creative Manitoba website, newsletter, social media channels and reports.(Required) I agree I do not agree I hereby grant my permission to Creative Manitoba Inc., to use photograph(s) or video footage taken of me during the above event for publication, broadcast, advertising and electronic media for promotional and/or educational purposes.(Required) I agree I do not agree
