Congress Registration

Thank you for your interest in the 5th Congress on Pediatric Irritability and Dysregulation! As a reminder, this will be a brief update meeting following the AACAP presidential task force and research agenda. Please see the Congress information page for the conference details!

If you would like to attend the meeting this year, please register below. With any questions, email Hannah at [email protected] or leave us a voicemail at 802-656-5135.

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Name *

First

Last

Email *

What is your title? *

Other: *

Telephone Number: *

What is your Institution or Affiliation? *

Degree (s)? *

Research Field or Specialty? *

Do you have access to a Zoom account? *

For Federal reporting purposes, please indicate your race: *

Other: *

For Federal reporting purposes, please indicate your ethnicity: *

Are you interested in participating in a full Congress meeting in-person, next year in 2022? *

Please leave any comments or questions here, and we will try to get back to you as quickly as possible! *

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