4th ANNUAL CONFERENCE REGISTRATION FORM

REGISTRATION FORM ~ 4th Annual Southern New Mexico Conference on Child Abuse and Neglect

Hosted by Kid's Inc. Child Advocacy Center
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Agency/ Organization*
Job Title/ Position*
Conference Days you will be attending:*

Monday, April 13, 2026Tuesday, April 14, 2026Wednesday, April 15, 2026Thursday, April 16, 2026
Will you be attending the Networking Luncheon on Tuesday, April 14, 2026? (Graciously sponsored by the Sacramento Mountains Foundation, the luncheon is free of charge for the conference attendee, but you MUST pre-register)*

YesNo
I acknowledge that conference registration reserves space and resources. If my plans change and I am unable to attend, I will promptly notify Cambri Syling at cambri@kidsinccac.com to help minimize no-show costs.*

YesNo
Should be Empty:

REGISTRATION FORM ~ 4th Annual Southern New Mexico Conference on Child Abuse and Neglect