Speaker FormThank you for agreeing to speak at the 40th Annual Community and School Health Pediatric Conference on June 11, 2026. Please complete the following form. Name (first and last) * Email address * Cell phone * Title of Presentation(s) List one objective per presentation for brochure SPEAKER LISTING FOR BROCHURE (NAME, CREDENTIALS, ACADEMIC TITLE, EMPLOYER, CLINICAL TITLE, EMPLOYER) ExamplesKay Kinzie, MSN, RN, FNP-BCClinical ManagerImmunodeficiency ProgramChildren’s Hospital ColoradoAdam Rosenberg, MDProfessor of PediatricsUniversity of Colorado School of MedicineAttending NeonatologistNeonatal ICU and Special Care Provide your speaker listing below * Speaker Bio - Create a brief bio introduction Would you like to add polling questions in your presentation? Children’s Hospital Colorado uses Mentimeter for live polling to engage both in-person and virtual learners. If you plan to use Mentimeter, your presentation must be submitted to the conference coordinator at least two weeks prior to the event, with no—or very limited—last-minute changes. This timeline allows the conference coordinator to work with you to incorporate Mentimeter into your presentation. If you have any questions, please contact Ray Cuellar at [email protected]. No Yes Leave this field blank
