Exit 2023 CCIV Symposium Registration Form Question Title * 1. Name Question Title * 2. Email Question Title * 3. Phone (optional) Question Title * 4. Job Title Question Title * 5. Primary Institution Emory University Children's Healthcare of Atlanta Georgia Tech Pediatric Institute Other (please specify) Question Title * 6. Primary Division/Area Allergy and Immunology Cardiology Critical Care Medicine Emergency Medicine Endocrinology Gastroenterology, Hepatology, and Nutrition General Pediatrics and Adolescent Medicine Hematology/Oncology Hospital Medicine Infectious Diseases Marcus Autism Center Neonatology Nephrology Neurology Palliative Care Pulmonary, Asthma, Cystic Fibrosis, and Sleep Rheumatology Other (please specify) Question Title * 7. Which activities are you planning to participate in? Keynote, External, and Internal Presentations Breakout Sessions Poster Session and Reception Question Title * 8. Which breakout session will you be joining? (Room assignments are subject to change.) Inclusive Leadership and Conflict Management (Room N100) Research in the Virtual Environment: Delivering Engaging Presentations and Building Collaborations (Room N147) Sustainability in Bench Science and Clinical Research (Room N247) None of the above Done