First Name *Surname *Email Address *Phone Number *Band/Performance or stage name *Age *(because you have to be over 18)Location *Profession * Is your performance related to *TechnologyScienceHealthSocial ScienceEconomicsLaw and PoliticsEntertainmentDesignCultureEnterpriseOtherDescribe your performance in three words *0 / 3What motivates you to be a part of TEDx? *0 / 250Do you require any additional support/special adjustments/Technical Requirements for you to TEDx performer?YouTube/Vimeo (no more than 2 minutes)Please specify why you are choosing this subject matter. What is the relevance to Revive? This video should not be more than 2 MINUTES LONG.GDPR *Yes, I agree with privacy policy, terms and conditionSend Message