Full Name:

Degree(s) and Awarding Institutions:

Credentials/Licensure/Certification:

Bio:

Please provide a link to a video of yourself teaching Qigong.

The video must have been recorded within the last five years and should clearly showcase your teaching style and approach. You can use YouTube, Vimeo, or a similar platform to upload your video and share the link with us.

Organization:

Address:

City/State/Zip Code:

Country:

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Phone (Day):

Phone (Mobile):

Email:

Title:

Provide a clear and concise title for your presentation. If your title is too long, we may reach out to work with you on editing it for clarity and brevity.

Abstract/Description:

Write a description of your presentation. This description may be used in the conference program, so craft it thoughtfully to accurately represent your session and engage potential attendees. Please keep your description to approximately 1,400 characters (about 150 words) to ensure it fits within the program guidelines.

Please explain how your presentation aligns with the conference theme, 'Honoring Our Roots.'

Instruction Type (Percentages must total 100%)

Lecture (%)	Movement/Practice Activities (%)
		Del

Add row

Faculty:

List the name(s) of any other person(s) who will be assisting you. 

PLEASE NOTE: If assistants choose to attend any other conference classes or keynotes, other than the class they will be assisting at, they must pay the appropriate conference registration fees.

Main Audience or Interest Group:

All Levels of Experience

Beginner Level

Intermediate Level

Advanced/Professional Level

What time of day would you prefer to present your workshop?

Note: While we make every effort to honor your request, final scheduling will depend on overall program flow and availability. 

Morning

Afternoon

Evening

No Preference

Please select your preferred day of presentation if you have one:

Note: While we make every effort to honor your request, final scheduling will depend on overall program flow and availability.  

Tuesday, Sept. 8, 2026

Wednesday, Sept. 9, 2025

Thursday, Sept. 10, 2026

Any of the above would work for me work for me

Audio/Visual Needs

We will provide a headset microphone.
Do you require any additional A/V support (PowerPoint, projector, sound, etc.)?
Please describe:

Presenter Agreement Form *

I acknowledge my agreement to conduct a presentation at the National Qigong Association (NQA) Annual Conference, scheduled for Tuesday, September 8, 2026, through Thursday, September 10, 2026, at Asterisk in Denver, CO.

I authorize the National Qigong Association (NQA) or its designee to use my name, lecture notes, abstracts, and any video and/or audio recordings of my presentation in educational materials, publications, websites, or promotional content related to this or future NQA conferences.

If selected, I agree to present my workshop under the terms and conditions noted above. I understand that the NQA reserves the right to schedule, modify, or cancel presentations as necessary to best serve the overall conference program.

Yes, I agree