Pediatric Emergency and Trauma Outreach Symposium, Pueblo, CO - Speaker Form - With Travel Preferences | Children's Hospital Colorado Continuing Education

Speaker Form

Thank you for agreeing to speak at the Pediatric Emergency and Trauma Outreach Symposium, Pueblo, CO, April 28-29, 2026. Please complete the following form.

Name (first and last) *

Email address *

Cell phone *

Title of presentation(s) *

List one objective per presentation for the brochure and accreditation purposes *

Speaker Listing for the brochure. Please include: name, credentials, academic title, employer, clinical title, and employer. Please use the format seen in the examples below:

Format Example:

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 *

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Pediatric Emergency and Trauma Outreach Symposium, Pueblo, CO - Speaker Form - With Travel Preferences

Speaker Form

Speaker Listing for the brochure. Please include: name, credentials, academic title, employer, clinical title, and employer. Please use the format seen in the examples below: