An Intensive Review and Update of Neonatal/Perinatal Medicine

UNIQUE COURSE HIGHLIGHTS State-of-the-Art Workshops Increased ARS Sessions Calculation Sessions Expert Panels An Intensive Review and Update of Neonatal/Perinatal Medicine Sponsored by the American Academy of Pediatrics (AAP) and the AAP Section on Neonatal-Perinatal Medicine Atlanta, Georgia January 23-29, 2016 Grand Hyatt Atlanta in Buckhead Save $150! Register by December 21, 2015 See page 2 for details. You should attend NeoPREP if you are: Preparing for the initial board certification examination in neonatal-perinatal medicine administered by the American Board of Pediatrics (ABP) Preparing to participate in the neonatal-perinatal medicine subspecialty Maintenance of Certification exam administered by the ABP A neonatal specialist interested in a comprehensive review and update of neonatal-perinatal medicine A pediatrician or allied health professional with special interest or experience in treating newborn infants Earn a Maximum of 51.25 AMA PRA Category 1 Credits The Self-Assessment portion of this course is approved through the AAP MOC Portfolio Program for 10 points by the American Board of Pediatrics for MOC Part 2. Register online www.aap.org/livecme Call toll-free 866/THE-AAP1 (866/843-2271)

NeoPREP WHAT IS NEOPREP? NeoPREP is a 7-day intensive review of neonatal-perinatal medicine that emphasizes the process of evidence-based clinical decision making and focuses on the scientific basis for the clinical practice of neonatology. The course is also a preparatory education program based on the content specifications outline developed by the American Board of Pediatrics (ABP) for the neonatal-perinatal subspecialty. The course content has been developed at an advanced level and is appropriate for individuals preparing for the ABP initial neonatal-perinatal subspecialty examination, as well as for individuals preparing for the examination required by the ABP for Part 3 of the Maintenance of Certification (MOC). NeoPREP emphasizes a learner-centered, educational approach featuring lectures, question-and-answer sessions, group case-based discussions, and mock-review question sessions to provide balanced views of the more controversial issues in neonatal-perinatal medicine. A comprehensive electronic syllabus will be provided to each participant. UPON COMPLETION OF THE NEOPREP COURSE YOU WILL BE BETTER ABLE TO: Integrate evidence-based treatments and recent developments and research into the practice of neonatal-perinatal medicine Diagnose and manage complex or difficult neonatal-perinatal cases through interactive case analysis Discuss neonatal-perinatal practice issues through informal learning in group case-based discussion sessions, interaction with faculty, and networking opportunities with peers SCHEDULE AND FACULTY Because we are always striving to improve the quality of your educational experience, schedules are subject to change. The AAP may substitute faculty with comparable expertise on rare occasions necessitated by illness or scheduling conflicts. Please visit www.aap.org/livecme for schedule, faculty, and session updates. Well organized lectures, excellent content, and a truly intensive review! Ramesh Vidavalur, MD, FAAP REGISTER USING ONE OF THE FOLLOWING OPTIONS: Register Online www.aap.org/livecme Call Toll-Free 866/THE-AAP1 (866/843-2271) Outside the U.S. and Canada, call 847/434-4000, option 3 REGISTRATION Using your Visa, MasterCard, American Express, or Discover, you can register online at www.aap.org/livecme, or call toll-free 866/843-2271. Outside the United States and Canada, call 847/434-4000, option 3. Please have your credit card and concurrent session selections ready prior to calling. If your membership status has changed or lapsed, the registration staff will charge the appropriate fees accordingly. Educational sessions as well as food and beverages provided during the course are intended for course attendees only. Lodging and meals, other than specified, are not included in the registration fee. Onsite registrants are welcome if space is available. Availability of course materials cannot be guaranteed for these registrants, however, until after the course. REGISTRANT TYPE/FEES U.S. Currency Register by December 21, 2015 for Early Bird Rates. Early Bird Rates Full Rates AAP Neonatal-Perinatal Medicine Section Members...$1,690...$1,840 AAP Fellows/Candidate Members/ International Members (Section Nonmembers)...$1,780...$1,930 AAP Resident Members...$1,335...$1,335 Nonmember Physicians...$2,225...$2,375 Family Physicians...$1,870...$2,020 Nonmember Residents...$2,050...$2,050 Registered Nurses...$1,520...$1,670 Nurse Practitioners...$1,520...$1,670 Physician Assistants...$1,520...$1,670 Fees subject to change without notice. 2 Register online at www.aap.org/livecme Call toll-free 866/THE-AAP1 (866/843-2271)

Schedule Friday, January 22, 2016 5:00-8:00pm AAP Registration Desk Open/Exhibit Set-Up Saturday, January 23, 2016 7:00am-6:15pm AAP Registration Desk Open 7:45-8:00am Introduction Renate D. Savich, MD, FAAP 8:00-8:45am Optimizing Test Success * Renate D. Savich, MD, FAAP 8:45-10:15am Physiologic Changes During Pregnancy and Maternal Conditions Affecting Fetal Health Kim Boggess, MD 10:15-10:30am Break/Visit the Exhibits 10:30-11:30am Antepartum and Intrapartum Assessment of the Fetus Kim Boggess, MD 11:30am-12:15pm Skin and Thermal Environment Steven Hoath, MD 12:15-1:15pm Lunch 1:15-2:30pm Fluids, Electrolytes, and Glucose Management Shawn Ahlfeld, MD, FAAP 2:30-3:45pm Parenteral Nutrition Jae Kim, MD, PhD, FAAP 3:45-4:00pm Break/Visit the Exhibits 4:00-4:45pm Calcium, Phosphorous, and Magnesium Metabolism Sarah Newell Taylor, MD, FAAP 4:45-6:15pm Enteral Nutrition (Breast/Donor Milk & Formula) Jae Kim, MD, PhD, FAAP 6:15pm Adjourn for the Day 6:30-7:30pm Welcome Reception Maximum CME Credits for Saturday: 8.00 *Please note: This presentation is not designated for CME credit. Sunday, January 24, 2016 7:00am-5:15pm 8:00-9:00am 9:00-10:00am AAP Registration Desk Open Nutrition Calculations (ARS) Camilia Martin, MD, FAAP Development of the Nervous System and Congenital Central Nervous System Abnormalities Dave Wrubel, MD 10:00-10:15am Break/Visit the Exhibits 10:15-11:45am Congenital Heart Disease Physiology, Diagnosis, and Management in Neonatology 11:45am-12:30pm Shock and Pharmacologic Management/Hypotension Steven Ringer, MD, PhD, FAAP 12:30-2:00pm Lunch On Your Own 2:00-3:15pm Concurrent Sessions A1. Interpreting Umbilical Cord Blood Gases Jeffrey Pomerance, MD, MPH, FAAP A2. State of the Art Resuscitation and Physiology Myra H. Wyckoff, MD, FAAP 3:15-3:30pm 3:30-4:45pm 4:50-5:50pm 5:50pm A3. Neonatal ECG Case Studies and Dysrhythmias A4. State of the Art Neuroprotection Lu-Ann Papile, MD, FAAP Break/Visit the Exhibits Concurrent Sessions (Repeat from 2:00pm) B1. Interpreting Umbilical Cord Blood Gases Jeffrey Pomerance, MD, MPH, FAAP B2. State of the Art Resuscitation and Physiology Myra H. Wyckoff, MD, FAAP B3. Neonatal ECG Case Studies and Dysrhythmias B4. State of the Art Neuroprotection Lu-Ann Papile, MD, FAAP Expert Panel Part 1 The Extremely Low Birth Weight (ELBW) Infant Neurology, Nutrition and Cardiology Management (Cases Based on State-of-the-Art Clinical Trials) Lu-Ann Papile, MD, FAAP Steven Ringer, MD, PhD, FAAP Myra H. Wyckoff, MD, FAAP Camilia Martin, MD, FAAP Brenda Poindexter, MD, FAAP Adjourn for the Day Maximum CME Credits for Sunday: 8.0 2016 NeoPREP 3

Schedule What a great opportunity to get an update on so many aspects of neonatology, all in one setting! Gregory R. Warda, MD, FAAP Monday, January 25, 2016 7:00am-6:45pm 8:00-9:15am 9:15-10:15am 10:15-10:30am 10:30-11:30am AAP Registration Desk Open Cardiac Physiology Dara Brodsky, MD Cardiac Physiology Calculations (ARS) Dara Brodsky, MD Break/Visit the Exhibits Neonatal Encephalopathy (Asphyxia) and Term Brain Injury Yvonne W. Wu, MD 11:30am-12:30pm Preterm Brain Injury Amit Mathur, MD, MBBS 12:30-1:30pm Lunch 1:30-2:30pm Evaluation of the Hypotonic Infant Dawn Gano, MD 2:30-3:30pm Seizures Nicholas Abend, MD 3:30-3:45pm Break/Visit the Exhibits 3:45-4:30pm Viral Infections and Other Perinatally Acquired Infections Richard J. Whitley, MD, FAAP 4:30-6:00pm Statistics and Research Design Gary Weiner, MD, FAAP 6:00-6:45pm Radiology Review (ARS) Mock Question Review Haresh Kirpalani, MD, FAAP 6:45pm Adjourn for the Day Tuesday, January 26, 2016 7:00am-6:00pm AAP Registration Desk Open 8:00-9:00am Statistics Calculations (ARS) Gary Weiner, MD, FAAP 9:00-9:45am Basic Pulmonary Development, Normal and Abnormal Jeffrey A. Whitsett, MD 9:45-10:45am Congenital and Acquired Respiratory Distress Beyond Surfactant Moira Crowley, MD 10:45-11:00am Break/Visit the Exhibits 11:00am-12:00pm Respiratory Distress Syndrome (RDS) and Surfactant Deficiency Alan Jobe, MD, PhD, FAAP 12:00-1:00pm Lunch 1:00-2:00pm Chronic Lung Disease Alan Jobe, MD, PhD, FAAP 2:00-3:00pm Persistent Newborn Pulmonary Hypertension (PPHN) Satyanarayana Lakshminrusimha, MD, FAAP 3:00-3:15pm Break/Visit the Exhibits 3:15-4:15pm Respiratory Physiology Martin Keszler, MD, FAAP 4:15-5:15pm Mechanical Ventilation Mark Mammel, MD, FAAP 5:15-6:00pm Expert Panel Part 2 Resuscitation of the Extremely Low Birth Weight (ELBW) Infant Cases Based on State-of-the-Art Clinical Trials Alan Jobe, MD, PhD, FAAP Martin Keszler, MD, FAAP Satyanarayana Lakshminrusimha, MD, FAAP Mark Mammel, MD, FAAP 6:00pm Adjourn for the Day Maximum CME Credits for Tuesday: 8.5 Maximum CME Credits for Monday: 9.25 4 Register online at www.aap.org/livecme Call toll-free 866/THE-AAP1 (866/843-2271)

Schedule Wednesday, January 27, 2016 7:00am-12:30pm AAP Registration Desk Open 8:00-9:00am 9:00-9:45am 9:45-9:50am 9:50-11:05am 11:05-11:15am 11:15am-12:30pm 12:30pm Respiratory Calculations and Graphs (ARS) Mark Mammel, MD, FAAP Martin Keszler, MD, FAAP Neonatal Thyroid Disorders Edmund La Gamma, MD, FAAP Move Break Concurrent Sessions C5. State of the Art Abnormal Pulmonary Development and Clinical Implications Jeffrey A. Whitsett, MD C6. Apnea Richard J. Martin, MD, FAAP C7. Neonatal Jaundice M. Jeffrey Maisels, MD, FAAP C8. State of the Art Hypothalamic-Pituary- Adrenal (HPA) Axis and Perinatal Steroid Use Kristi Watterberg, MD, FAAP Break/Visit the Exhibits Concurrent Sessions (Repeat from 9:50am) D5. State of the Art Abnormal Pulmonary Development and Clinical Implications Jeffrey A. Whitsett, MD D6. Apnea Richard J. Martin, MD, FAAP D7. Neonatal Jaundice M. Jeffrey Maisels, MD, FAAP D8. State of the Art Hypothalamic-Pituary- Adrenal (HPA) Axis and Perinatal Steroid Use Kristi Watterberg, MD, FAAP Adjourn for the Day Maximum CME Credits for Wednesday: 4.25 Thursday, January 28, 2016 7:00am-6:15pm 8:00-9:15am 9:15-10:00am AAP Registration Desk Open Principles of Mendelian and Molecular Genetics Bruce Korf, MD, PhD, FAAP Approach to the Infant with Congenital Anomalies Hope Northrup, MD 10:00-10:15am Break/Visit the Exhibits 10:15-11:00am Early Onset Bacterial Infections Daniel Benjamin, MD, FAAP 11:00-11:45am Basic Developmental Immunology/White Blood Cells (WBC) Mervin C. Yoder, MD, FAAP 11:45am-12:30pm Late Onset Bacterial Infections Daniel Benjamin, MD, FAAP 12:30-1:30pm Lunch 1:30-2:15pm Neuro Development and Outcome Ira Adams-Chapman, MD 2:15-3:30pm Renal Development and Renal Injury Jordan Symons, MD 3:30-3:45pm Break/Visit the Exhibits 3:45-4:45pm Inborn Errors of Metabolism Mark S. Korson, MD, FABMG 4:45-5:30pm Disorders of Sexual Differentiation Jonathan Ross, MD 5:30-6:15pm Mock Review Questions Avroy A. Fanaroff, MD, FAAP 6:15pm Adjourn for the Day Maximum CME Credits for Thursday: 8.75 Friday, January 29, 2016 7:00am-12:45pm AAP Registration Desk Open 8:00-9:15am General Principles of Pharmacology Kelly Wade, MD, PhD, FAAP 9:15-10:00am Platelets and Coagulation Martha Sole-Visner, MD, FAAP 10:00-10:15am Break/Visit the Exhibits 10:15-11:00am Erythrocytes and Transfusions Martha Sole-Visner, MD, FAAP 11:00-11:45am Developmental and Acquired Disorders of the Gastrointestinal (GI) Tract Brad Warner, MD, FAAP 11:45am-12:30pm Gastrointestinal (GI) Development, Function, and Nutrient Absorption Josef Neu, MD 12:30-12:45pm Closing Remarks Renate D. Savich, MD, FAAP 12:45pm Course Adjourns Maximum CME Credits for Friday: 4.5 Maximum NeoPREP AMA PRA Category 1 Credits : 51.25 2016 NeoPREP 5

Planning Group & Faculty NeoPREP PLANNING GROUP Renate D. Savich, MD, FAAP, Chair Jackson, Mississippi Jay P. Goldsmith, MD, FAAP New Orleans, Louisiana Lily Lou, MD, FAAP Anchorage, Alaska Camilia Martin, MD, FAAP Boston, Massachusetts James Moore, MD, PhD, FAAP Hartford, Connecticut Brenda Poindexter, MD, FAAP Cincinnati, Ohio Kelly Wade, MD, PhD, FAAP Philadelphia, Pennsylvania Nicholas Abend, MD Philadelphia, Pennsylvania Ira Adams-Chapman, MD Atlanta, Georgia Shawn Ahlfeld, MD, FAAP Indianapolis, Indiana Portland, Oregon Daniel Benjamin, MD, FAAP Durham, North Carolina Kim Boggess, MD Chapel Hill, North Carolina Dara Brodsky, MD Boston, Massachusetts Moira Crowley, MD Cleveland, Ohio Avroy A. Fanaroff, MD, FAAP Cleveland, Ohio Dawn Gano, MD Vancouver, British Columbia, Canada Steven Hoath, MD Cincinnati, Ohio Alan Jobe, MD, PhD, FAAP Cincinnati, Ohio Martin Keszler, MD, FAAP Providence, Rhode Island Jae Kim, MD, PhD, FAAP San Diego, California Haresh Kirpalani, MD, FAAP Philadelphia, Pennsylvania Bruce Korf, MD, PhD, FAAP Birmingham, Alabama Mark S. Korson, MD, FABMG Salem, Massachusetts Satyanarayana Lakshminrusimha, MD, FAAP East Amherst, New York Edmund La Gamma, MD, FAAP Setauket, New York M. Jeffrey Maisels, MD, FAAP Royal Oak, Michigan Mark Mammel, MD, FAAP St. Paul, Minnesota Richard J. Martin, MD, FAAP Cleveland, Ohio Amit Mathur, MD, MBBS St. Louis, Missouri Josef Neu, MD Gainesville, Florida Sarah Newell Taylor, MD, FAAP Charleston, South Carolina Hope Northrup, MD Houston, Texas Lu-Ann Papile, MD, FAAP Albuquerque, New Mexico Jeffrey Pomerance, MD, MPH, FAAP Los Angeles, California Steven Ringer, MD, PhD, FAAP Needham, Massachusetts Jonathan Ross, MD Cleveland, Ohio Martha Sole-Visner, MD, FAAP Needham, Massachusetts Jordan Symons, MD Seattle, Washington Brad Warner, MD, FAAP St. Louis, Missouri Kristi Watterberg, MD, FAAP Albuquerque, New Mexico Gary Weiner, MD, FAAP Ann Arbor, Michigan Richard J. Whitley, MD, FAAP Birmingham, Alabama Jeffrey A. Whitsett, MD Cincinnati, Ohio Dave Wrubel, MD Atlanta, Georgia Yvonne W. Wu, MD San Francisco, California Myra H. Wyckoff, MD, FAAP Dallas, Texas Mervin C. Yoder, MD, FAAP Indianapolis, Indiana CONTINUING MEDICAL EDUCATION CREDIT The American Academy of Pediatrics (AAP) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. The AAP designates this live activity for a maximum of 51.25 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity. This activity is acceptable for a maximum of 51.25 AAP credits. These credits can be applied toward the AAP CME/CPD Award available to Fellows and Candidate Members of the AAP. The American Academy of Physician Assistants (AAPA) accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit from organizations accredited by ACCME. Physician assistants may receive a maximum of 51.25 hours of Category 1 credit for completing this program. This program is accredited for 51.25 NAPNAP CE contact hours; pharmacology, psychopharmacology, and controlled substance contact hours to be determined per the National Association of Pediatric Nurse Practitioners (NAPNAP) Continuing Education Guidelines. DISCLOSURE OF FINANCIAL RELATIONSHIPS AND RESOLUTION OF CONFLICTS OF INTEREST The AAP Policy on Disclosure of Financial Relationships and Resolution of Conflicts of Interest is designed to ensure quality, objective, balanced, and scientifically rigorous AAP CME activities. All individuals in a position to influence and/or control the content of AAP CME activities are required to disclose to the AAP and subsequently to learners that they either have no relevant financial relationships or any financial relationships with the manufacturer(s) of any commercial product(s) and/or provider(s) of commercial services discussed in CME activities. All potential conflicts of interest are identified and resolved prior to an individual s confirmation of service at an AAP CME activity. Beyond disclosure of financial relationships, AAP CME faculty are required to disclose to the AAP and to learners when they plan to discuss or demonstrate pharmaceuticals and/or medical devices and/or medical or surgical procedures that involve off-label use of a device or pharmaceutical. The AAP is committed to providing learners with commercially unbiased CME activities. The content of this CME activity does not necessarily reflect the views or policies of the AAP. 6 Register online at www.aap.org/livecme Call toll-free 866/THE-AAP1 (866/843-2271)

Hotel, Travel & General Information HOTEL INFORMATION Grand Hyatt Atlanta in Buckhead 3300 Peachtree Road NE, Atlanta, GA 30305 Direct Phone Number: 404/237-1237 Group Reservations: 888/421-1442 Hotel Fax Number: 404/504-2576 http://grandatlanta.hyatt.com Special group rates beginning at $189 per night, plus tax, for single or double occupancy, have been negotiated at The Grand Hyatt Atlanta in Buckhead. These rates represent substantial savings from published rates. The cutoff date for reservations at the group rate is December 29, 2015, but some or all dates in our discounted room block may become sold-out prior to this deadline. Call the hotel directly to make your reservations and be sure to request the AAP NeoPREP group rate. CANCELLATIONS Cancellations must be received in writing (registration@aap.org) by January 8, 2016 to receive a refund. An administrative charge of $50 will be deducted. UNABLE TO ATTEND? While nothing replaces the experience of being at NeoPREP, not everyone can attend in person. If you can t be there, you may order an MP3/MP4 or DVD-ROM package of the lectures and the concurrent sessions recorded at the course, which are synced with the presentation slides. To order the recordings visit www.dcprovidersonline.com/aap or call Digital Conference Providers at 630/963-8311 for pricing and additional information. EARN MOC PART 2 POINTS! Register to attend the 2016 NeoPREP Course Complete the online, pre-course self-assessment Attend the 2016 NeoPREP Course in Atlanta, GA Complete the online, post-course self-assessment with a minimum passing score of 80% The pre- and post-course self-assessments are a bonus to registered course attendees to enhance the learning experience at the live activity and provide 10 ABP MOC Part 2 Points in addition to the CME credit earned by attending the course. Note: You are not eligible to claim MOC Part 2 credit for this course-related self-assessment, if you have received MOC Part 2 credit for completing the 2013 AAP NeoReviewsPlus Self-Assessment. Please include your email address to ensure that you receive instructions for accessing the MOC pre/post tests. Please contact AAP registration if you do not receive an email approximately one week prior to the course. ONLINE SYLLABUS The 2016 NeoPREP is environmentally friendly! Syllabus materials for this course will be made available online for registered course attendees. About 1 week prior to the course, you can expect to receive an email with instructions for accessing the online syllabus materials. Only registered participants will have access to view all of the PowerPoint presentations, along with other useful information. If you are interested in viewing the contents of the online syllabus while in Atlanta, we encourage you to download the syllabus onto your laptop computer or tablet device prior to arriving on-site. If you prefer to have printed handouts in front of you while at the course, we encourage you to print those from the online syllabus ahead of time and bring them with you. There will not be any AAP-provided printer stations at the course. Note: Please include your email address on your registration form to ensure that you receive instructions for accessing the online syllabus. Please contact AAP registration if you do not receive an email approximately one week prior to the course. Because the AAP understands that individuals have different learning styles, you may choose to order a printed copy of the syllabus materials, if you prefer that format. If you would like a printed copy of the syllabus, please select that option on the course registration form. Please note that an additional fee of $250 applies. Also, to receive a printed syllabus in Atlanta, you must register by December 21, 2015. Note: There may be printed copies of the syllabus available for purchase on-site or after the course; however, quantities will be limited. The price for a printed syllabus ordered on-site or after the course is $495. AMERICAN ACADEMY OF PEDIATRICS The AAP is an organization of 64,000 primary care pediatricians, pediatric medical subspecialists, and pediatric surgical subspecialists committed to the attainment of optional physical, mental, and social health and well-being for all infants, children, adolescents, and young adults. AAP SECTION ON NEONATAL-PERINATAL MEDICINE Founded in 1974, this AAP Section is composed of members who have a special interest in practicing in the fields associated with or related to neonatal-perinatal medicine. The Section was formed for the purpose of improving the care of newborn infants and fetuses, pregnant women and their families by providing an educational forum for the discussion of problems relating to neonatal medicine, pregnancy, and parturition. Membership in the Section is open to Fellows and Resident Members of the AAP and approved National and Section affiliates who are actively involved in the fields associated with or related to neonatal medicine. To join the Section, call 800/433-9016, ext. 5897. 2016 NeoPREP 7

141 Northwest Point Blvd Elk Grove Village, IL 60007-1098 An Intensive Review and Update of Neonatal/Perinatal Medicine Sponsored by the American Academy of Pediatrics (AAP) and the AAP Section on Neonatal-Perinatal Medicine Save $150! Register by December 21, 2015 See page 2 for details. Atlanta, Georgia January 23-29, 2016 Grand Hyatt Atlanta in Buckhead Earn a Maximum of 51.25 AMA PRA Category 1 Credits Register online www.aap.org/livecme Call toll-free 866/THE-AAP1 (866/843-2271)

AAP Registration Form Save $150! Register by December 21, 2015 NeoPREP An Intensive Review of Neonatal/Perinatal Medicine Grand Hyatt Atlanta in Buckhead Atlanta, Georgia January 23-29, 2016 REGISTER USING ONE OF THE FOLLOWING OPTIONS: Online at: www.aap.org/livecme Call toll-free: 866/THE-AAP1 (866/843-2271) Outside the United States and Canada, call 847/434-4000, option 3 Mail this form with payment to: American Academy of Pediatrics/Registration 37925 Eagle Way Chicago, Illinois 60678-1379 Fax this form to: 847/228-5059 PLEASE TYPE OR PRINT NAME ADDRESS FIRST LAST (SURNAME) MD, DO, OTHER (SPECIFY) CITY/STATE/PROVINCE ZIP CODE/POSTAL CODE/COUNTRY DAYTIME PHONE CELL NUMBER EMAIL ADDRESS AAP ID # (REQUIRED TO RECEIVE INSTRUCTIONS FOR ACCESSING ONLINE COURSE INFORMATION.) EMERGENCY CONTACT NAME/PHONE PLEASE INDICATE ANY SPECIAL NEEDS (E.G: BREAST FEEDING ACCOMMODATIONS, DIETARY RESTRICTIONS, PHYSICAL DISABILITIES). CONCURRENT SESSIONS (Please list your top two choices and alternates.) Sunday, January 24 2:00-3:15pm FIRST SECOND ALTERNATE 3:30-4:45pm FIRST SECOND ALTERNATE Wednesday, January 27 9:50-11:05am FIRST SECOND ALTERNATE 11:15am-12:30pm FIRST SECOND ALTERNATE SL1: Check here to order a printed syllabus for an additional $250, which will be distributed at the course. REGISTRATION TYPE/FEES U.S. Currency Register by December 21, 2015 for Early Bird Rates! NeoPREP Early Bird Rates Full Rates AAP Neonatal-Perinatal Medicine Section Members...$1,690...$1,840 AAP Fellows/Candidate Members/ International Members (Section Nonmembers)...$1,780...$1,930 AAP Resident Members...$1,335...$1,335 Nonmember Physicians...$2,225...$2,375 Family Physicians...$1,870...$2,020 Nonmember Residents...$2,050...$2,050 Registered Nurses...$1,520...$1,670 Nurse Practitioners...$1,520...$1,670 Physician Assistants...$1,520...$1,670 Fees subject to change without notice. FULL PAYMENT MUST ACCOMPANY THIS FORM. Charge it: CARD NUMBER EXPIRATION DATE PRINT NAME AS IT APPEARS ON CARD Or checks may be made payable to the American Academy of Pediatrics. CHECK NUMBER (U.S. REGISTRANTS ONLY) AMOUNT Please do not send currency. Your registration will be confirmed. Please contact the AAP Registration Area if you do not receive a confirmation within 14 days. The AAP recommends that you do not make travel or hotel reservations that cannot be changed or cancelled without penalty until you receive your confirmation, as the AAP cannot be responsible for expenses incurred by an individual who is not confirmed and for whom space is not available at this course. Costs incurred, such as airline or hotel penalties, are the responsibility of the individual. The AAP reserves the right to cancel this activity due to unforeseen circumstances or to limit enrollments, should attendance exceed capacity. Course educational sessions are open only to registered attendees.