Speaker Agreement Name(Required) First Last Email(Required) Enter Email Confirm Email Mobile Phone(Required)Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzechiaDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussian FederationRwandaSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTürkiyeTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Organization/Ministry/Church(Required)I am available to speak at DATC 2026, a live, in-person conference, to be held at McLean Bible Church (Tysons Campus) in Vienna, VA, April 21-23, 2026.(Required) Yes No I understand that I am responsible for my travel and lodging expenses. I will receive my complimentary conference registration which will include lunch on Tuesday & Wednesday. I will also receive an invitation to be Key Ministry's guest at the Speaker Dinner on Tuesday evening, April 21.(Required) Yes No Key Ministry has the right to record, stream, film and photograph my presentation at DATC (the “Presentation”) and to distribute, broadcast, edit, translate or otherwise disseminate it, without any further approval from me, in whole or in part, throughout the world, in perpetuity, in any and all media now known or hereafter developed. This includes, but is not limited to, the right to use the Presentation either alone or together with supporting information, such as my name, voice, photograph, likeness and biographical data (collectively, “Supporting Information”).(Required) Yes No Do you publicly identify as having a disability? Yes No What role(s) do you identify with? Pastor/Associate Pastor Worship Leader Children’s Ministry Leader Disability Ministry Leader Other Ministry Leader Denominational office Parachurch organization Parent/Caregiver Other Please specify the "Other Ministry Leader" role you identify with:Please specify the "other" role:Your WebsiteSocial Media AccountsSpeaker Bio(Required)This will be used on the conference website. Speaker bio must be written in THIRD PERSON. Please review and edit your submission accordingly before submitting this agreement.My HeadshotMax. file size: 256 MB. I give permission for Key Ministry to use the photo, bio and breakout description for communications and marketing materials promoting DATC.(Required) Yes No I agree to utilize the speaker graphics package that will be emailed to me to promote the conference on my social media platforms.(Required) Yes No I will attend the Speaker Dinner (Tuesday, April 21, 2026).(Required) Yes No I will be bringing ONE complimentary guest with me to the Speakers Dinner.(Required) Yes No Guest Name(Required)Do you or your guest have any dietary restrictions?(Required) Yes No Please describe your dietary restrictions.(Required) Key Ministry Statement of Faith Click here to view: http://keyministry.org/statement-of-faith After reviewing Key Ministry’s Statement of Faith, I affirm my agreement and support of its doctrinal positions.(Required) Yes I understand that I will still need to register as an attendee on the official DATC conference registration page. A speaker discount code will be emailed to be to use at checkout.(Required) Yes No
