Full Name:

Email Address:

Professional title, credentials and certifications:

Organization or business name, if applicable:

Website or professional profile link, if applicable:

Please describe your speaking or teaching experience. Include conferences, workshops, trainings, webinars, classes or other relevant teaching experience.

Please provide a short speaker bio. 

Presentation title:

Presentation description:
Please provide a clear summary of your proposed session, including the main topic, who it is for, and what attendees will gain. 

What is the ideal session length for your presentation?

What are 3 key learning objectives for your session?

How does your session support CAPPA conference attendees? Please explain how your presentation is relevant, practical, and useful for professionals serving birthing people, babies, and families.

Have you presented this topic before?

If yes, where have you presented this topic? If no, please put N/A. 

Please submit a recording of yourself presenting, teaching, or speaking in a professional setting. 
Your recording may be from a presentation, webinar, workshop, training class or similar professional setting. If you do not have a previous recording, you may upload a short video introducing yourself and your proposed session topic.

Are you available to present in person in San Diego, CA on October 6-7, 2027?

Do you agree that CAPPA may contact you regarding your speaker request and conference planning details? 

I understand that CAPPA Conference speaker opportunities are unpaid. If selected, I understand that I will receive one complimentary conference ticket, professional visibility with CAPPA's audience, and the option to include an approved item in the conference swag bags.

I understand that selected speakers are required to submit a recorded version of their presentation so it can be made available to virtual CAPPA Conference attendees for viewing and/or purchase.