Expression of interest to present at the GetNZ Active Conference 2011

Please note this expression of interest needs to contain full information on the session you are proposing.

FitnessNZ will be selecting and confirming sessions based on the information provided with a rough room/session schedule to be completed at the time of confirmation of sessions, this will mean that all room requirements need to be stated correctly now to avoid being allocated a room which does not suit your needs.

Name:
Your email address:
A confirmation email will be sent to this address. If you do not receive this within 30 minutes, please email info@getnzactive.co.nz.
Your mobile phone number (Including international and area codes):
If you are presenting on behalf of another organisation (they arrange your flights and so on) please indicate their name here:	Please select... None Max College HQH SESNZ Other If Other, please specify:
Have you presented at the GetNZ Active conference before?	Please select... Yes No
If no, then please answer the remaining three questions in this section. Otherwise, please skip to the next section.
Industry Experience and background:
Previous experience presenting at similar events: (please detail sessions and conferences)
References who can confirm your suitability as a presenter:
How many sessions do you have available for presentation?	Please select... 1 2 3 4 5 6 7 8 9 10
If you are selecting more than one session above, how many sessions would you like to present in total (i.e. you can give us 5 sessions, and say you would like to present any 3)?	Please select... 1 2 3 4 5 6 7 8 9 10