Submit an Abstract

7th National Cribs for Kids Conference: Mission Possible -- May 3 - 6, 2022
Call for Abstracts Open August 1, 2021, to November 30, 2021.
Thank you for your interest in our conference. At this time, the call for abstract submissions has closed. Any abstracts submitted after December 1, 2021, will not be considered for this conference. 
If you have been asked by a Cribs for Kids staff member or have received an extension, you may still use the form below to submit your abstract.
If you have any questions, please email Andrea Wilson at awilson@cribsforkids.org
Please note: You are not able to save and continue at a later time. Make sure that you have all of the information you need for your abstract submission saved in another document if you need to exit for any reason. 
First Name*
Your First Name
Field is required!
Field is required!
Last Name*
Your Last Name
Field is required!
Field is required!
Credentials
Your Credentials
Field is required!
Field is required!
Job Title*
Your Job Title
Field is required!
Field is required!
Organization Name*
Organization Name
Field is required!
Field is required!
Mailing Address*
Address
Field is required!
Field is required!
Address Line 2
Address Line 2
Field is required!
Field is required!
City*
City
Field is required!
Field is required!
State*
City
Field is required!
Field is required!
Zip Code*
Zip Code
Field is required!
Field is required!
Phone Number*
Your Phone Number
Field is required!
Field is required!
Email Address*
Your Email Address
Field is required!
Field is required!
Abstract Title*
Write your title here...
Field is required!
Field is required!
Select a presentation category (check all that apply)
You may leave this question blank if you do not know what category your presentation fits into.
Field is required!
Field is required!
Presentation Objectives (3 Minimum)*
Write your presentation objectives here...
Field is required!
Field is required!
Please summarize your research/presentation*
Write your summary here...
Field is required!
Field is required!
Please list an action item or a take away that our attendees can use to replicate your success in their community or ways they can support a national effort.*
Write your summary here...
Field is required!
Field is required!
Have you ever presented this before?*
Field is required!
Field is required!
Where was this presented before?*
Write your answer here...
Field is required!
Field is required!
When was this presented before?*
Write your answer here...
Field is required!
Field is required!
What type of presentation are you interested in doing?*
Check all that apply. (Please note: we will do our best to accommodate your preference, but cannot make any guarantees).
Field is required!
Field is required!
What Audio Visual capabilities do you require for your presentation?
Check all that apply.
Field is required!
Field is required!
Can we share your PowerPoint presentation/print materials with our conference attendees?*
Field is required!
Field is required!
Is the Primary Presenter the same person as the Abstract Submitter?*
Field is required!
Field is required!

Please provide the following contact information for the primary presenter below.

First Name*
Your First Name
Field is required!
Field is required!
Last Name*
Your Last Name
Field is required!
Field is required!
Credentials
Your Credentials
Field is required!
Field is required!
Job Title*
Your Job Title
Field is required!
Field is required!
Organization Name*
Organization Name
Field is required!
Field is required!
Mailing Address*
Address
Field is required!
Field is required!
City*
City
Field is required!
Field is required!
State*
State
Field is required!
Field is required!
Zip Code*
Zip Code
Field is required!
Field is required!
Phone Number*
Your Phone Number
Field is required!
Field is required!
Email Address*
Your Email Address
Field is required!
Field is required!
Primary Presenter Bio*
Write the bio paragraph here...
Field is required!
Field is required!
Will this presentation have a secondary presenter?*
Field is required!
Field is required!
Is the Secondary Presenter the same person as the Abstract Submitter?*
Field is required!
Field is required!

Please provide the following contact information for the secondary presenter below.

First Name*
Your First Name
Field is required!
Field is required!
Last Name*
Your Last Name
Field is required!
Field is required!
Credentials
Your Credentials
Field is required!
Field is required!
Job Title*
Your Job Title
Field is required!
Field is required!
Organization Name*
Organization Name
Field is required!
Field is required!
Mailing Address*
Address
Field is required!
Field is required!
City*
City
Field is required!
Field is required!
State*
State
Field is required!
Field is required!
Zip Code*
Zip Code
Field is required!
Field is required!
Phone Number*
Your Phone Number
Field is required!
Field is required!
Email Address*
Your Email Address
Field is required!
Field is required!
Secondary Presenter Bio*
Write the bio paragraph here...
Field is required!
Field is required!