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Home
About
Who We Are
Chapter Office & Staff
Officers & Board
Committees
News Archive
Diversity & Inclusion Statement
Financial Snapshot
Membership
Join AL-AAP
Member Benefits
Chapter Involvement
Update Your Member Profile
Nominate a Pediatrician
Pediatric Employment Opportunities
Initiatives
Supporting Alabama Children Experiencing Domestic Violence Through Partnerships
QI Collaboratives
Help Me Grow Alabama
Safe Sleep
Reach Out and Read
Residents/Fellows in Training
Education/Events
2025 Medical Student/Resident Poster Session
Alabama Pediatrician Podcast!
Upcoming Meetings
On-Demand CME
On-Demand Trainings
Submit Your Podcast Topic Ideas!
Tools for Pediatricians
Legislative Advocacy
Immunization Resources
Practice Transformation Resources
Quality Improvement Resources
Other Practice Resources
Newsletters
Oral Health Risk Assessment Training
Suicide Prevention Resources for Alabama Pediatricians
Firearm Injury/Death Prevention Resources
Regional Child Resilience Resources for Pediatricians
Practice Management
Practice Management Association - Who We Are
PMA News, Resources & Education (PMA Members Only)
Vendors
2025 Annual Meeting & Fall Pediatric Update
2026 Spring Meeting & Pediatric Update
Pediatric Partner Program
Newsletter Advertising Opportunities
Alabama Pediatrician Podcast Sponsorship
Alabama Chapter of the American Academy of Pediatrics
Speaker Travel/Presentation Form
Please complete and submit by Friday, August 1, 2025.
Name
*
First Name
Last Name
Cell Phone #
*
(###)
###
####
How will you be traveling?
*
Driving
Flying
TRAVEL INFORMATION
AS A REMINDER: The Chapter will make your hotel reservations for you based on the information below. IMPORTANT: We welcome you to stay for the entire conference, but as a reminder, the Chapter will pay for your room/taxes/parking for the nights before and after your talk; you will be responsible for additional nights, and we will let the hotel know.
Date of Arrival
*
Thursday, September 11, 2025
Friday, September 12, 2025
Saturday, September 13, 2025
Flight #, if applicable
Time of Arrival
Date of Departure
*
Friday, September 12, 2025
Saturday, September 13, 2025
Sunday, September 14, 2025
Monday, September 15, 2025
Flight #, if applicable
Time of Departure
Please indicate your AV needs
Please indicate all that apply
LCD projector
Laptop
Bringing my own laptop (discouraged)
Internet access
Flip chart
DVD player
AV special requests
Does you PowerPoint have embedded videos
*
Yes
No
Will you bring a guest/spouse?
*
Yes
No
If yes, please provide first/last name
Will you (and guest, if applicable) attend Saturday dinner?
*
Yes
No
Signature of Acknowledgement
I have reviewed the information on this form for accuracy and understand that the AL-AAP will make my hotel reservations based on the information below. With my signature, I also acknowledge that I will be responsible for the hotel charges outside of room/parking/taxes for the nights before and after my talk(s).
Thank you!