Clinicians and Speakers

2019 DLAT Southwest Conference & Expo

Speaker Contract and Clinic Information

We are delighted that you will be speaking at our conference! Please take some time to fill out the form below regarding your clinic/presentation and Biographical information.

Note: if you are not the speaker feel free to copy the URL above and sent to the speaker to fill out his/her own speaker and clinic info.

There are 2 separate forms to fill out:

Speaker Information: Tell us about yourself and who your sponsor is. This will be used in all publications and to present you and your credentials before the presentation.

After you fill out the speaker information section Press blue "Submit" button on the form.

Next click on the blue "Clinic Information" button to continue with the form.

Clinic Information: This form will tell us about your Clinic/ Presentation. If you are giving more than one presentation, please submit a form for each course.

Thank You

Robert Jones, CDT

DLAT Program Chair

Every speaker that is sponsored is worth one star toward your Sponsorship Level!

Please press "Submit" above before you click "clinic information".