This is where you, as a speaker at the 2026 Neurodivergent Lived Experience Summit, will submit your information!
Name you want to use at the summit
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Pronouns you want to use at the summit
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Email you check regularly
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URLs for your most used socials (2 only please)
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Website (put N/A if you don't have/use one)
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Professional Title
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(how you want to be referred to in promo materials, i.e. "Host of the XYZ Podcast" or "Neurodivergent Advocate" etc.)
Short Bio (3-5 sentences)
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Upload your headshot
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SQUARE photo please!
Add an image
One book you recommend about your topic
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I will be gifting a copy of this book to one person who attends your presentation live, to encourage live attendance!
Your PayPal email address for payment
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Title of your summit presentation
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If you're not sure or need help, put HELP here, and I'll email you!
Are you submitting something to the Goody Bag?
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(items must be at least $10 in value and NOT available for free on your website)
Choose your answer
If yes, have you filled out this form yet?
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Click this URL, fill out the form, then come back here and click "Yes" or if you're not contributing to the Goody Bag, just select "No"
https://xtiles.app/f/-4N80LZGg6c50njkHw6t07StEgHJMwY1zaXw6HJH0Pw
Choose your answer
Do you want to promote a free resource?
If you have a free resource you want to promote at the summit to encourage folks to join your email list, drop the URL here:
Add link
Do you want to be an affiliate for the summit (AKA, you make a small comission when folks buy the Goody Bag, at no extra cost to them?) If so, drop the email you'd like to use:
Have you scheduled your speaking time slot? Use this link to do so: