Speaker Intake Form

Tribalize V Summit

Presenter Intake Form

March 25-28, 2022

Now Accepting
Presenter RFPs

Dear Presenter,

We’re thrilled that you’ll be joining us in-person for our TRIBALIZE Tulum Regional Summit V near Tulum March 25-28.

Please fill out the following questionnaire as soon as possible and before March 2, so we can finalize our schedule and get your information up on the website.

Thank you for your participation in TRIBALIZE and this regenerative movement.

Regeneratively Yours,

Brad Nye
Founder, TRIBALIZE

Tribalize V Presenter Intake Form

About You
Name*

First

Last
Cell Phone*
Email*
Website*
Your Bio (100-250 words)*
Upload Your Best High Res Headshot*Max. file size: 500 MB.
Assistant Contact Info (If Applicable)
Your Assistant or Contact Person's Name

First

Last
Your Assistant or Contact Person's Email
Your Assistant or Contact Person's Phone
Your Presentation
Content*
- Presentation
- Panel
- Class / Workshop
- Facilitation
- Ceremony / Ritual
- Interview
- Musical Performance
- Regenerative Living
- Civilization Design
- Indigenous Wisdom / Living Culture
- Community Spotlight
- Other
Please check all that apply. Thanks!
If other, please describe below
Presentation Title* If you are on a panel, please simply write “panelist”
Presentation Description*Please keep it to the maximum 100 words. If you are on a panel, please simply write “panelist”
HiddenAre you doing a Live or Virtual Presentation?
- Virtual Online
- Live in Tulum
- Both
What type of technology will you need for your presentation?
- Sound
- Musical Sound
- Video Projection
- Other
If other, please describe below
Days / Times not Available*Are there any days or times that you are NOT available during March 25-28, 2022 to be scheduled for the Summit?
Agreements
Promotions*
- Yes, I will promote Tribalize Tulum Regional Summit
- No, I will not be able to promote the Tribalize Tulum Regional Summit
Tribalize will naturally promote you and your work before, during and after the Summit in a variety of ways. Please let us know if you will share the summit with your audience.
HiddenAccommodations*
- I can pay for my own accommodations to support Tribalize
- I need assistance with my accommodations in order to participate live
- Not necessary, I can only participate virtually
Please let us know your status re: accommodations. Thank you.
HiddenTravel Expenses*
- I will handle my own travel and other expenses
- I cannot handle my own travel and other expenses
- Not necessary, I can only participate virtually
We are able to cover a number of your meals. You will be responsible for your travel to Tulum and any auxiliary expenses. Please also respond to the question around your accommodations needs.
Tribalize LLC Media Agreement*
- I AGREE to the Tribalize LLC Media Agreement
- I DO NOT AGREE to the Tribalize LLC Media Agreement
- I have questions about the Tribalize LLC Media Agreement
I hereby authorize Tribalize LLC to record my likeness in the form of audio, video and photographs during my presentation at TRIBALIZE V in Tulum live in-person. I understand that TRIBALIZE LLC will allow ticket holders to view the replays as well as allowing ticket holders to watch the live presentation. Further, I understand Tribalize LLC may elect to utilize my photographs, audio or video in promoting upcoming summits. Tribalize LLC shall not modify my presentation but will keep it in-tact as presented in video representations. The only exception to this may be if a short snippet of it is chosen to be used in a trailer or other promotional piece.
PhoneThis field is for validation purposes and should be left unchanged.

Tribalize V Summit

Presenter Intake Form

Now Accepting Presenter RFPs

Dear Presenter,

Tribalize V Presenter Intake Form

About You

Assistant Contact Info (If Applicable)

Your Presentation

Agreements

Now Accepting
Presenter RFPs