16th Annual Neonatal Advanced Practice Conference - Speaker Reply Form | Children's Hospital Colorado Continuing Education

Speaker Form

Thank you for agreeing to speak at the 16th Annual Neonatal Advanced Practice Conference on June 18, 2026. Please complete the following form.

Name (first and last) *

Email address *

Cell phone *

Title of Presentations *

List one objective per presentation for the brochure

Speaker listing for the brochure (Name, credential, academic title, employer, clinical title, employer)

Examples

Kay Kinzie, MSN, RN, FNP-BC
Clinical Manager
Immunodeficiency Program
Children’s Hospital Colorado

Adam Rosenberg, MD
Professor of Pediatrics
University of Colorado School of Medicine
Attending Neonatologist
Neonatal ICU and Special Care Clinic
Children’s Hospital Colorado

Provide your speaker listing below *

Speaker Bio - Create a brief bio introduction *

Are polling questions in your presentation *

Yes

Leave this field blank

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16th Annual Neonatal Advanced Practice Conference - Speaker Reply Form

Speaker Form

Speaker listing for the brochure (Name, credential, academic title, employer, clinical title, employer)