Cribs for Kids® Conference Registration

Thank you for your interest in attending Third National Cribs for Kids® Infant Safe Sleep Conference.  This conference addresses issues surrounding the importance of expanding infant safe sleep awareness; commitment to infant safe sleep education; and creating a unified infant safe sleep message.  Those who may be interested in attending include Cribs for Kids® partners; social service agencies; pediatricians; nurses from the newborn and Neonatal Intensive Care Units of hospitals; social workers; childcare workers; Department of Public Health Maternal Child Health Personnel; Department of Health & Human Services personnel; members of Child Death Review Teams; medical examiners; coroners; police, paramedics and any other professionals who are interested in saving babies’ lives through a safe sleep initiative. 

TRACKS AND CONCURRENT WORKSHOPS:
Participants should register to attend either Track I or Track II

<TRACK I>: Cribs for Kids® National Infant Safe Sleep Initiative – Provides all of the essentials needed to run a successful safe sleep program. Includes three WORKSHOPS: Cribs for Kids® Program; Hospital and Statewide Initiatives; Community Outreach.   Track 1 will feature national experts who will discuss: ·   What the data tells us ·   The role of the manufacturing community and safety organization in promoting safe sleep ·   How to start a Cribs for Kids® Program in your community and initiatives that have worked for other groups to help sustain the program ·   How to develop a Hospital Safe Sleep Initiative and develop hospital policy ·   Examples of public health models that reach high risk communities through agency and faith-based collaborations ·   And much more

<TRACK II>:  Sudden Unexplained Infant Death Investigation (SUIDI) Training -  This comprehensive training will meet the objectives of the CDC’s Sudden Unexplained Infant Death (SUID) Initiative which are: (1) Standardize and improve data collected at death scene (2) Promote consistent and accurate diagnosis of cause of death Part I -Child Abuse/Neglect Injury and Death Investigations using Scene Re-enactment & Scene Re-Creation Part II -SUIDI Sudden Unexplained Infant Death Investigation Training **Track 2 will have a limited number of participants. Only those who pre-register will be admitted to these breakout sessions.

***Tracks cover different topics each day***

CONFERENCE SCHEDULE

CONFERENCE FEES:

Conference registration fee includes:

  • Admission to the Plenary Sessions
  • Admission to Concurrent Sessions
  • Continuing Education Credit (for a wide variety of disciplines)
  • Jump Drive with downloaded conference materials
  • Program Handbook
  • Welcome Reception
  • Meals:  Continental Breakfast daily and Lunch on Wednesday and Thursday (Please indicate in the ‘special instructions’ section of your online registration if you have special dietary needs)
  • Refreshment Breaks

Registering on or before May 31, 2013:
FULL CONFERENCE  - $300   or   ONE DAY ONLY – $150

Participants who register on or before May 31, 2013 will be entered into a drawing, every day of the conference, to win 10 Cribs for Kids® Safe Sleep Survival Kits which include:  safe-sleep educational materials, Graco Pack ‘N Play portable cribs, Halo Sleep Sacks imprinted with the Cribs for Kids® Logo, portable crib sheets with a safe sleep message, and Respironics Pacifiers.

Registering after May 31, 2013:
FULL CONFERENCE  - $350   or   ONE DAY ONLY – $175

**Please deduct $100 from your registration fee if you received a letter confirming that you a Presenter**

Exhibitor Space:
EXHIBITOR SPACE ONLY – $600
EXHIBITOR SPACE WITH CONFERENCE REGISTRATION – $300

SPONSORSHIP OPPORTUNITIES:
Conference Sponsorship Information

PAYMENT OPTIONS:
Please complete the online registration form below then submit your payment by one of three options:

Check – Please mail check to Cribs for Kids, 810 River Ave., Suite 250, Pittsburgh, PA 15212 and be sure to reference the attendee’s name.  If a Purchase Order is required by your organization, make it out to Cribs for Kids®  - EIN #25 1442806 and fax to 412-322-5686
Credit Card – Please download this credit card form and fax to 412-322-5686
Invoice – When completing the registration form below choose “Invoice” for your payment option and we will submit one to you via e-mail

Room rates at the Omni William Penn ($149/night) will be in effect until May 31, 2013.  To make reservations click on:   Omni William Penn – Pittsburgh, PA.  Greater Pittsburgh Travel has been selected as the official travel agent for the Cribs for Kids® Conference.  They will assist you in getting the best rates available through several airlines for your travel to Pittsburgh for the conference.  Please contact Tom Diecks at 412-331-2244 or tdiecks@greaterpittsburghtravel.com.  Maps and directions can be found on the Omni William Penn website at Maps and Directions.

–FINAL DEADLINE TO REGISTER IS FRIDAY, JUNE 14, 2013  5:00 P.M., EST–
( “Cancellations will be accepted 72 hours prior to the day of arrival by 12:00 Noon local hotel time.”)

Please call Judy Bannon at 412-322-5680 ext. 3 or e-mail jbannon@cribsforkids.org with questions

CEUs will be awarded for Nurses*, Social Workers**, Coroners***, and EMS****

*Duquesne University is an approved provider of continuing nursing education by the PA State Nurses Association an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.

Track I: Cribs for Kids® provides 15 hours of CE. You must attend the entire conference to receive CE.

**Carlow University Department of Social Work is a “pre-approved provider” of Continuing Education Credits for social workers (Section 47.36) by the PA State Board of Social Workers, Marriage and Family Therapists and Professional Counselors.

Track I: Cribs for Kids® provides 15 hours of CE. You must attend the entire conference to receive CE.

*** This conference has been approved for Continuing Education by the Pennsylvania State Coroners’ Education Board under the provisions of Act 22 of 1988.  Track II: SUIDI Training provides 8 hours of CE. You must attend the entire conference to receive CE.

**** This conference has been approved for Continuing Education by the Continuing Education Coordinating Board for Emergency Medical Services. Track II: SUIDI Training provides 8 hours of CE (2 Medical/Trauma and 6 Other). You must attend the entire conference to receive CE.

CONFERENCE REGISTRATION FORM:

Note: To receive early bird conference rates, you must submit your registration by 11:59 pm, EST on May 31, 2013.

* Indicates Required Field

Prefix *

First Name *

Last Name *

Credentials

Job Title*

Company/Organizaton*

Address 1*

Address 2

City*

State*

Zip*

Phone*

Fax

E-mail Address*

TRACK I: Cribs for Kids National Infant Safe Sleep Initiative - Provides all of the essentials needed to run a successful safe sleep program. Includes three WORKSHOPS: Cribs for Kids® Program; Hospital and Statewide Initiatives; Community Outreach

TRACK II: SUIDI Training - Sudden Unexpected Infant Death Investigation

***Tracks cover different topics each day***

Please register me for:  TRACK I TRACK II Sponsor or Exhibitor

Please select whether you will attend the FULL CONFERENCE or if you will be attending only ONE DAY:  I am attending the FULL CONFERENCE I am attending WEDNESDAY ONLY I am attending THURSDAY ONLY

EXHIBITOR SPACE:  I would like to reserve an Exhibitor Space with my registration - $300 I would like to reserve an Exhibitor Space, but will not attend the conference - $600 I do not want to reserve an Exhibitor Space

Payment Options: By completing this online form your registration will be confirmed. Please verify which option you are choosing to forward your payment.

Are you a Presenter? Please deduct $100 from your registration fee if you received a letter confirming that you a Presenter:  I am a Presenter I am not a Presenter

Payment Option:  Check Credit Card Invoice Plenary Presenter Special Waiver
Check - Please mail check to Cribs for Kids, 810 River Ave., Suite 250, Pittsburgh, PA 15212 and be sure to reference the attendee's name. If a Purchase Order is required by your organization, make it out to Cribs for Kids® - EIN #25 1442806 and fax to 412-322-5686
Credit Card - Please download and complete the form and fax to 412-322-5686
Invoice- Select this option request an invoice be submitted to you by e-mail or by mail
Plenary Presenters - Conference fee waived
Special Waiver - Pre-approved by conference organizers

Special Instructions: Please use this area to provide us with any additional information that you would like to include with your registration:

Thank you for submitting your registration to attend the Third Annual Cribs for Kids® Conference -- The ABC's of Infant Safe Sleep. If your registration is properly completed you will receive a message in a green text box indicating that it was sent. If you have not completed all necessary information a yellow text box will appear and you will need to retrace your registration for incomplete information. Upon successfully submitting your registration, you will receive an e-mail response based on the e-mail that you provided above, which will provide you with a copy of all of the registration content that you submitted.

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