🌸 MENOPOLOOZA SPEAKER INTAKE FORM

Thank you for saying YES to being part of Menopolooza — a joyful, bold, and inclusive celebration of menopause and perimenopause. Please complete the following form to help us promote your session, support your needs, and make the experience amazing for everyone.

🧾 BASIC INFO

Full Name:

Name You’d Like Displayed (on website, signage, etc):

Pronouns:

☐ She/Her

☐ He/Him

☐ They/Them

☐ Other: _______________

Email Address:

Phone Number (optional):

Website / Social Handles (if you'd like us to tag or share):

🧠 SESSION INFO

Session Title:

Session Format:

☐ Panel

☐ Solo Talk

☐ Workshop

☐ Movement / Embodied Practice

☐ Other: _______________________

One-sentence description of your session (for schedule):

Short Bio (100–150 words):

Do you have a preferred headshot or image you'd like us to use?

☐ Yes (we’ll follow up for it!)

☐ No, happy for you to choose something from my site

🎤 AV + ACCESS NEEDS

Do you need any of the following?

☐ Projector / Screen

☐ Slide Clicker

☐ Microphone

☐ Sound (for music or video)

☐ Table / Chair

☐ Yoga mats or props

☐ Other: _______________________

Do you have any accessibility needs we should be aware of?

🫶 COMMUNITY AGREEMENT

Menopolooza is built on respect, inclusion, and courageous connection. As a speaker, you agree to:

Uphold these values in your session

Avoid discriminatory or harmful language

Let us know if you need support to create a safer space

☐ I agree.

💌 Anything else you’d like us to know?

Speaker Forms

📧 Speaker Outreach Email Template

Subject: Invitation to Speak at MENOPOLOOZA – A Bold New Menopause Experience

Hi [Speaker's Name],

I hope this finds you well! I'm reaching out to invite you to speak at MENOPOLOOZA, a bold, inclusive, and joyfully rebellious two-day event focused on menopause, perimenopause, and everything in between.

Taking place on [insert dates + location], Menopolooza brings together experts, creatives, and everyday legends for real talk, practical tools, and collective empowerment. Think of it as part celebration, part reclamation, and part revolution.

We’d love to invite you to join a panel called “[insert panel title]” on [insert day/time]. We think your voice and perspective would be an incredible fit for the conversation.

Here’s what we’re offering:

Honorarium: $[insert amount]

Travel / Accommodation: [Covered / Optional / Not applicable]

Full access to both days of the event

A fun and fabulous speaker gift bag

Opportunities to connect, promote your work, and be part of a powerful, growing community

Let me know if you're interested or if you'd like to hop on a quick call to chat further. We’d be thrilled to have you as part of this first-of-its-kind experience.

Warmly,

Bryn Meadows

Event Organizer, Menopolooza

[Contact Info / Website / Socials]

Menopolooza Speaker Agreement

This agreement is made between Menopolooza (the Event) and [Speaker Name] (the Speaker) on this date: [insert date].

1. Engagement

The Speaker agrees to participate in the following session:
Title: [Panel/Workshop Name]
Date/Time: [Insert]
Format: [Panel / Talk / Workshop / Performance]

2. Compensation

The Speaker will receive:

• An honorarium of $[insert amount]

• [Details about travel/accommodation reimbursement, if applicable]

• Complimentary event registration

• Meals and refreshments on the day(s) of participation

• Optional: Space to promote or sell relevant products or services

3. Promotional Materials

The Speaker agrees to provide:

• A short bio and headshot by [insert deadline]

• Optional participation in promotional efforts (e.g., social media or media mentions)

4. Recording & Media

Sessions may be recorded for educational or promotional purposes. The Speaker consents to their image, voice, and presentation being used by Menopolooza in recordings, promotional materials, or recaps, unless otherwise negotiated in writing.

5. Intellectual Property

The Speaker retains the rights to their original content, slides, and materials. Menopolooza will not distribute or reproduce these materials without express permission, aside from recording the session as agreed in section 4.

6. Inclusion & Safety Policies

Menopolooza is committed to creating a brave, inclusive, and respectful space for all participants. The Speaker agrees to:

• Uphold values of equity, inclusion, and anti-oppression

• Avoid language or content that could be discriminatory, harmful, or exclusionary

• Report any safety or accessibility concerns to the organizing team
  The Event reserves the right to remove or decline participation if a speaker engages in conduct that violates these principles.

7. Cancellation & Contingencies

If the Speaker is unable to attend, they agree to notify the organizers as soon as possible. If the Event must cancel, all reasonable efforts will be made to reschedule or issue agreed-upon compensation.

8. Signatures

Speaker Name: ___________________________
Signature: __________________________________
Date: ___________

Event Organizer (Menopolooza): ____________________
Signature: __________________________________
Date: ___________