Register for Let’sTalkPPCM Awareness Week – May 10–17, 2026
Sign up for events, connect with the PPCM community, and support awareness during Awareness Week.
Full Name
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First Name
Last Name
Email Address
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example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Role / Affiliation
Please Select
Medical Professional
Birth Worker
Parent / Guardian
Community Member / Supporter
Other
Company / Organization (for networking)
Which events will you attend? (Select all that apply)
*
Educational Webinar w/Tyla Flowers Magazine Feature – May 10th 5:30PM-7PM CST
Educational Webinar w/Adraia Virgilio, LPN – May 11th, 11:30am-2pm CST
Kansas Perinatal Quality Spring Conference on PPCM - May 12th, 11:30am-12:30pm CST
Non-Medical Financial Coverage Session w/Agent Brianna Johnson – May 13th, 12 PM–1 PM CST
PPCM Chat: Survivor Story Circle Support Group – May 14th, 6:30PM–8PM CST
PPCM Workshop w/Dr. Ijeoma Eleazu M.D. and Survivor Lisa Schwartz– May 15th, 11:30 AM–1:30PM CST
Kahoot! Game Night w/Heidi Ross - May 16th, 7pm-7:45pm CST
Pop-Up Kids Book Event at Half Price Book Store TX – May 16th, 12pm–4PM CST
Giveback + Giveaway Night for Attendees – May 17th, 6:30PM CST
For heart sister's ONLY- Contractor (Select all roles that apply)
Educational Webinar – May 10th
Educational Webinar – May 11th
PPCM Workshop – May 12th
Financial Coverage Session – May 13th
Kahoot! Game Night – May 14th
PPCM Workshop Story Share May 15th
Ppcm Chat: Survivor Story Circle – May 16th
Giveback + Giveaway Gift – May 17th
Number of Kids Attending (if joining a Kids Pop-Up event)
Would you like to make an optional donation to support PPCM Awareness Week?
*
Yes, I want to donate
No, not at this time
Donation Options
$13 – Sponsor a Children's Book
$25 – Sponsor a PPCM Heart Mom
Custom Amount
If custom amount, please enter your donation (USD):
How did you hear about us?
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Social Media
Friend / Family
Healthcare Provider
Community Event
Other
What do you hope to learn or gain from Awareness Week?
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Comments or Questions
I consent to photos and sharing during online or in person events.
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I agree
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