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Return this completed form on or before FRIDAY, JULY 12

to ESI Management Group  –  tia_esimgt@msn.com

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LIST MY EMAIL ADDRESS IN THE CONFERENCE PACKET
AUDIO-VISUAL NEEDS (Check the equipment you would like ordered for your presentation): Due to limited and sporadic internet connections at the event site, please do not count on access or streaming - instead, download what you need and embed it into your presentation – on your laptop
** Please remember to submit your materials in advance so they can be prepped and uploaded to the website. Bring your laptop with your presentation with you to the live event. (If bringing a Mac or ultrathin, please bring its adaptor for VGA / connection to the projector.)
TEACHING METHODS and/or MATERIALS YOU PLAN TO PROVIDE / USE (Please check all that apply):
TOOLS, SKILLS & PRACTICES YOU WILL PROVIDE WILL BE DIRECTED TO
HANDOUTS (Please check the appropriate selection): *If using PowerPoint, format w/3-6 slides/page and do NOT include date
OBJECTIVES:

As a presenter at CRITICAL ISSUES FACING CHILDREN & ADOLESCENTS 2024, I agree to conduct a present- ation as detailed above and in the letter of confirmation. I also agree to ensure that my participation is free of slander-ous statements, that I will not hold any other parties liable for my comments, and that I will not utilize someone else’s written materials without their permission. If there is deviation from such issues, I agree to indemnify, hold harmless and defend the partners and organizers of this meeting for actions which may result.