Speaker Reply FormThank you for agreeing to speak at the Emergency and Trauma Outreach Symposium | Albuquerque, NM, August 19-20, 2025. 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(Name, Credentials, Academic Title, Employer, Clinical Title, Employer)Examples:Kay Kinzie, MSN, RN, FNP-BCClinical ManagerImmunodeficiency ProgramChildren’s Hospital ColoradoAdam Rosenberg, MDProfessor of PediatricsUniversity of Colorado School of MedicineAttending NeonatologistNeonatal ICU and Special Care ClinicChildren’s Hospital Colorado Provide your speaker listing below * Speaker bio - create a brief bio introduction * Leave this field blank