Presenter Information

Name

Please note, chosen name is welcome (even if this is different from the name you have on legal documents).

First Name

Last Name

Pronouns

This section is optional. If you include your pronouns, please also note whether you would like them to be shared alongside your name on any conference information / presenter lists available to the public, or whether you'd prefer the remain private. For example, you might write "[your pronouns] - consent to share publicly", or "[your pronouns] - do not share publicly".

Website / social media handles (for recognition)

Accessibility, adjustments, and accommodations

Please list any access needs, adjustments, or supports you’d like Appetite for Change Conference facilitators to be aware of, so we can do our best to ensure they're accommodated and met :)

Whose Country are you on?

For example, Wurundjeri Land, Gadigal Land, Tāmaki Makaurau, etc.

Shared Values & Transparency

Please read the following statements, then mark your response in the appropriate checkbox.

By completing this form, I confirm that the following: Statement 1: I/my organisation is not affiliated with, does not endorse, and does not participate in: – Weight-loss companies or programs, or BMI-based programs. – Conversion-based or coercive behavioural approaches. – Practices or programs that conflict with the values of the Appetite for Change Conference (e.g. our values of and commitments to anti-ableist, anti-racist, anti-colonial, neurodiversity-affirming, LGBTQIA+ affirming, body and weight inclusive, equitable care). – Movements, groups, or belief systems that are pro-genocide, pro-war, right-wing, supremacist, eugenicist, and / or otherwise discriminatory in nature. Statement 2: I will advise Lumen Gorrie (Appetite for Change Conference organiser) if my response to Statement 1 (above) of this section changes. Statement 3: I understand that if I become affiliated with, endorse, and / or participate in any of the things listed in Statement 1 (above), I will need to step back from participating in the 2026 Appetite for Change Conference.

Yes, I confirm this

No, I do not confirm this

Safe and Inclusive Language

Please read the following statements, then mark your response in the appropriate box.

This section is about ensuring that the language and frameworks used in presentations are safe, inclusive, de-pathologising, and affirming. The intent of this section is not to police or control language. If you have any questions or concerns about this section, please feel welcome to get in touch with Lumen to chat about it. By completing this form, I confirm the following: – My views, work, and presentation will align with and use identity-affirming language and frameworks. – I will not use pathology frameworks for any marginalised identities, bodies, or experiences. – I will use safe, inclusive, and accurate language when discussing gender. – I will not endorse personality pathology frameworks.

Yes, I confirm this

No, I do not confirm this

Language that is safe for you

If there is any language you would like to be used - or avoided - in any Appetite for Change Conference communications, promotion, presentations, facilitation, or any other contexts, please feel welcome to list it here. Lumen Gorrie (Appetite for Change Conference organiser) will take this on board and communicate in a de-identified way - maintaining your confidentiality - to others, to ensure they are aware of it.

Remuneration

Presenters do not need to pay to attend the conference / do not need to buy a ticket. Conference registration / attendance is free for all presenters, and presenters are not charged a fee to present at the conference. Additionally, all presenters will be remunerated for their involvement, unless they explicitly and volitionally decline remuneration.

Lumen Gorrie (Appetite for Change Conference organiser) has offered to remunerate me for my involvement in the conference, and has not asked for unpaid labour.

Yes

Do you accept remuneration for your involvement in the Appetite for Change Conference?

Yes, I accept and will be receiving remuneration

No, I decline and do not want to receive remuneration

Consent to be recorded for post-live event viewing

Note: If you consent to this, ticket-holders would only have access to the recording for a limited time (i.e. maximum of 90 days post-live event). They would not have lifetime access, and access would not be granted to anyone who is not a registered ticket-holder. Recordings would not be available for be download by viewers.

I consent to my session being recorded, and consent to it being accessible to ticket-holders for ≤ 90 days post-live event

I consent to my session being recorded, but do not consent to it being accessible to ticket-holders post-live event

I do not consent to my session being recorded at all

Final Sections

Please note, you will also receive a copy of your completed form once Lumen Gorrie has reviewed it following submission.

I confirm that the information I have provided in this form is accurate and true to the best of my knowledge.

Yes, I confirm this

Signed Name & Date

Please enter your name and today's date below, to sign off on this form (e.g. Lumen Gorrie 18/09/2025).

Thank you so much for your involvement in the Appetite for Change Conference! We appreciate it immeasurably, and are really excited to be creating the conference with you :)

Presenter agreement form

Appetite for Change Project