Women In Bloom 2026 Panelist Intake Form

Thank you so much for your interest in participating as a panelist. Please take a moment to complete the form below. All submissions will be thoughtfully reviewed by our team. Completing this form does not guarantee selection as a panelist, but if we would like to move forward, a member of our team will be in touch with next steps.

Full Name *

Email *

Phone *

Website *

Panel One: Before We Speak
This panel explores the connection between fashion, beauty, self image, and identity through the lens of self worth. The conversation centers on how women see themselves before the world responds, and how inner perception shapes confidence, presence, and the way we show up. Panelists will share how personal style, beauty, and self care have supported their journeys of self definition, healing, and growth, with a focus on intention rather than trends.

Panel Two: The Woman On the Other Side
This panel centers on personal journeys of growth, resilience, and transformation. Panelists will share lessons learned through challenging seasons and how those experiences shaped who they are today. The focus is on turning struggle into strength and using personal stories to inspire, lead, and create meaning.

Which panel are you interested in participating in? *

Please select your panel discussion of interest.

What perspectives, experiences, or expertise do you bring to this panel? *

Why is this topic important to you personally or professionally? *

What key message do you hope attendees take away from your participation? *

Are there specific topics you feel especially confident speaking on? *

Please list the topics.

Perks

If selected, as a thank you for participating in this conversation, each panelist will receive ONE complimentary general admission ticket for a guest. Guest information must be submitted no later than April 24, 2026. Unfortunately, we will not be able to grant admission if the information is not received by this date.

Acknowledgment, Promotion and Media Consent

By checking the box, you acknowledge and agree that, if selected, you may be photographed or recorded during the event and that your likeness, voice, quotes, and content may be used for promotional, marketing, and archival purposes across digital and print platforms.

By checking the box, you confirm that the information provided is accurate and understand your role and participation expectations as a panelist.