REGISTRATION BROCHURE - PHOENIX WORLD BURN CONGRESS 2019 - October 2-5, 2019 - Phoenix Society
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Phoenix World Burn Congress 2019
PHOENIX WORLD BURN CONGRESS 2019
REGISTRATION BROCHURE
Hilton Anaheim + Anaheim Convention Center
Anaheim, CA
October 2-5, 2019
www.phoenix-society.org
Phoenix World Burn Congress 2019
Phoenix World Burn Congress is a program of
Supporting and empowering anyone impacted by a burn injury
Survivors and their loved ones often face a lifelong journey of physical, social, and emotional recovery.
We fill a gap in care with programs, tools, and resources for social and emotional healing.
A COMMUNITY OF TRANSFORMATIONAL HEALING
Stay connected to the burn community 24 hours a day, 365 days a year, all over the world.
Other Phoenix Society Programs
Phoenix SOAR Peer Support Burn Support Magazine Phoenix Advocates
Online Learning Peer Support Chat Resource Library
Phoenix Education Grant School Re-entry Phoenix Fellowship
www.phoenix-society.org
PLANNING COMMITTEE
Rachel Anderson Kate Flores Cynthia Martinez-Patin Nicole Perry Audrey Scott
Martha Boks Angie Gregg Andrea Marz Pam Peterson Megan Tinney
Christen Bradbury Jamie Heffernan Deb Minton Kelly Ransdell Teresa Reid
Stephanie Farquhar Jessica Irven Amar Patel Chris Richichi Natasha Weesies
Mike Williams
PROGRAM COMMITTEE
Martha Boks Scott Denman Christopher James, MA, MFTI Pam Peterson, RN, BSN
James Bosch, MA, LMFT Kate Flores Samoana Matagi Julie Stefan, MSW, LCSW
Rich Casias Jessica Irven, MS, LRT/CTRS, Aaron Moore, MA Megan Tinney, PT, DPT
CCLS, CTP-C
Helen Christians, M/OTL
PHOENIX UBELONG PLANNING COMMITTEE
Michelle Anderson Cheryl Dahling Donna McCartney Kristen Quinn
Christen Bradbury Heather Domenick Tessa Mendel Angela Seitz
Simon Bradbury Linda Garcia Rebecca Parmenter Megan Tinney
Alexis Castro Bailey Huber Nicole Perry
—2— 2019 WBC Registration Brochure
LOCATION HIGHLIGHTS
PHOENIX WORLD BURN CONGRESS 2019
ANAHEIM, CA
Located in the heart of Southern California
and known for its ideal, year-round climate,
Orange County has a laid-back energy and
easy sophistication that create a unique
version of the Southern California lifestyle.
Orange County is filled with activities,
including world-famous theme parks such
as Disneyland and Knott’s Berry Farm,
distinguished shopping districts, dynamic
meeting venues, championship golf
courses, professional sports teams and
trendy beach towns.
Bordering the Pacific Ocean and situated
between Los Angeles and San Diego, OC
is the perfect destination to base an all-
encompassing So Cal experience.
Hotel Meeting Space
Hilton Anaheim Anaheim Convention Center
777 Convention Center Way 800 W Katella Ave
Anaheim, CA 92802 Anaheim, CA 92802
—3— 2019 WBC Registration Brochure
Phoenix World Burn Congress 2019
KEYNOTE SPEAKERS
STAY STRONG, FINISH STRONG – THE FLAMES THAT MADE ME STRONGER
Israel “DT” Del Toro, Jr. explores the power of bravery in the face of adversity, staying motivated,
and developing the perseverance that will get you to your destination. Only a few short years after
his life –threating accident, DT achieved his goal of becoming the first 100-percent combat disabled
Air Force technician to re-enlist, proving once again what one can achieve with steadfast tenacity
and determination. In his speech, DT seeks to eliminate the stigma associated with disabilities, and
prove that with perseverance, no obstacles are insurmountable.
In 2005 while serving in the U.S. Air Force in Afghanistan, Senior Master Sgt. Israel “DT” Del Toro was
following routine orders when his Humvee rolled over a buried pressure-plate mine and exploded. The
blast severed most of his fingers and left him in a coma for nearly three months, with burns covering
the majority of his body. He was given a 15% chance of survival, but Del Toro defied the odds and
made a miraculous recovery. During his rehabilitation, Del Toro was introduced to adaptive sports as
a therapeutic outlet and it quickly became something he excelled at. He eventually set world records in
shot put, discus, and javelin and won a gold medal at The 2016 Invictus Games. For his perseverance and
commitment to his country, Senior Master Sgt. Israel Del Toro received The Pat Tillman Award for Service
at The 25th ESPYS Presented by Capital One in 2017.
HAPPINESS THROUGH GRATITUDE, COMPASSION, AND FORGIVENESS
Learn how happiness can be enhanced by practicing the qualities of gratitude, compassion and
forgiveness. Understand the role each plays in emotional well-being and how, when applied
synergistically, their impact is enhanced and many of life’s difficulties can be managed more
effectively.
Fred Luskin, Ph.D. is a senior consultant in health promotion at Stanford University, a professor at the
Institute for Transpersonal Psychology, and an affiliate faculty member of the Greater Good Science
Center. Dr. Luskin serves as Director of the Stanford Forgiveness Projects, an ongoing series of workshops
and research projects that investigate the effectiveness of his forgiveness methods on a variety of
populations. The forgiveness project has successfully explored forgiveness therapy with people who
suffered from the violence in Northern Ireland, Sierra Leone, and the 9/11 attacks on the World Trade
Center. His work has been successfully applied and researched in corporate, medical, legal and religious
settings. He is the author of Forgive for Good: A Proven Prescription for Health and Happiness and Stress
Free for Good: Ten Proven Life Skills for Health and Happiness, with Kenneth Pelletier, Ph.D.
LIVE LIFE TO THE FULLEST
You can’t change what happened to you, but you do have the
opportunity to change your future! Cindy and Derrick will share their
approach to living beyond surviving a burn injury. Learn how to forge
ahead despite challenges, roller coasters, and speed bumps in your
path. With perseverance, good relationships, mentoring, and giving
back, you can accomplish whatever you set your mind to after a burn
injury.
Cindy Rutter, BSN, MFTI, has been an advocate for Phoenix Society for
Burn Survivors and involved in the burn community for more than 35
years. She recently completed her master’s degree to become a marriage
and family therapist. Cindy met Derrick Green in 1999, when she was his
burn nurse at UCSD Burn Center, after he sustained a 90% burn injury.
They formed an incredible relationship that lasts to this day. This year,
Cindy celebrates 60 years of life after burns and Derek celebrates 20.
—4— 2019 WBC Registration Brochure
Phoenix World Burn Congress 2019
PRE-CONGRESS WORKSHOPS
BODY IMAGE, SEXUALITY, + INTIMACY AFTER A BURN INJURY
Full Day Workshop: 9:00 am – 12:00 pm; lunch on your own; 2:00 pm – 5:00 pm
CINDY RUTTER, BSN, MFTI
RUTH B. RIMMER, PHD, CLCP
RADHA HOLAVANAHALLI, PHD
In the immediate aftermath of a burn injury, the focus is survival. But what happens next? Body image, sexuality, and intimacy
aren’t talked about until much later – if they’re talked about at all. Sexuality is important to your quality of life, encompassing
how you feel about yourself and how you relate to others.
Most likely, you look different and your body has permanently changed. As you recover, you may have a lot of questions:
• Will my life ever be normal?
• Will my relationships with others be different?
• Will my significant other still want to be with me?
• Will anyone be attracted to me?
• Will anyone ever want to touch me?
After a burn, it’s essential to reconnect to people, take risks, and reach out—but this can be a challenge. This full day workshop
will help you understand and face many of the issues related to body image, sexuality, and intimacy after a burn injury.
YOUNG ADULT WORKSHOP: TAKING CHANCES, ENJOYING THE RIDE
Full Day Workshop: 8:30 am – 5:00 pm
JESSICA IRVEN, MS, CCLS, LRT/CTRS
DOUGLASS CLAPP, RN, BSN
ALEXI PYLES
Learn new skills through discussions, support groups, breakout sessions and the opportunity to take a chance. For burn
survivors and their loved ones, 18-25 years old.
Please commit to ALL of the following workshop times:
Wednesday 8:30 am – 5:00 pm Friday 4:30 pm – 6:00 pm
Thursday 3:00 pm – 5:00 pm Saturday 10:15 am – 11:30 am
Taking a chance can be scary, like that first drop in a roller coaster or coming to a workshop for the first time. At Knott’s Berry
Farm, we’ll look at roller coasters as an opportunity to take a chance in fun, supported, and healthy ways.
The first drop can kind of be a shock, but as the roller coaster of life continues, we can become more confident in whatever we
face: opening up to a group for the first time, starting a new job, building or ending relationships, or graduating from college.
Whether you’re a roller coaster veteran or this will be your first time, we’ll help you find the right ride to launch your Phoenix
World Burn Congress experience and develop new ways to challenge yourself when you return home. Let’s enjoy the ride
together!
—5— 2019 WBC Registration Brochure
Phoenix World Burn Congress 2019
FACING THE FUTURE: TOOLS + STEPS TO SOCIAL CONFIDENCE + CONTROL
2:00 pm – 5:00 pm
BARBARA KAMMERER QUAYLE, MA
MONA KREUGER, MA, MSW
TONY GONZALEZ
This power-packed workshop provides the tools for survivors and families to get back to living after a burn injury. It enables you
to feel comfortable and confident in any social, work, or school setting. You will learn simple, specific, and smart ways to manage
stares, startled glances, abrupt questions, and whispers from three burn survivors who use these tools in their daily lives. This
workshop is designed for survivors, family, friends, and burn care professionals. Everyone leaves with crucial, easy-to-use tools
to build social control, social comfort, and social competence!
[FAMILY WORKSHOP] CAREGIVER SELF CARE: SIMPLE STRATEGIES TO USE EVERY DAY
2:00 pm – 5:00 pm
KRISTEN QUINN, CMHC, CCLS
LINDA GARCIA, MA, CCLS
JILLIAN CLARK, PT
In this hands-on workshop, you’ll learn strategies to identify and address compassion fatigue in others and in yourself. You’ll
identify what you already do to take care of yourself and other simple everyday self-care strategies. Learn several techniques to
use in your personal or professional life. Finally, learn how to tell when self-care isn’t working and how you can ask for help.
EXPLORING LAND AND SEA: RESOURCES FOR WATER ACTIVITY + OUTDOOR RECREATION
2:00 pm – 5:00 pm
DR. JAMIE HOFFMAN, CTRS
CASEY CONNELL, PADI COURSE DIRECTOR
Whether you’re an avid adventurer, an inexperienced swimmer, or just someone who wants to explore the outdoors, you’ll find
the information and resources you need to play. You’ll learn the benefits of water activity and outdoor recreation, and gain an
introduction to terminology and equipment for scuba diving, adaptive kayaking, adaptive cycling, and other outdoor adventures.
You will take away knowledge and resources to continue your adventures on land or at sea.
PRESENTING AND PRESERVING OUR JOURNEY TOWARD THE NEW NORMAL
2:00 pm – 5:00 pm
SCOTT A. KROHN
BENITA ALIOTH
In this supportive atmosphere, you’ll voice your passions, your hopes, your obstacles, your dreams, and your stories. After
responding to prompts including photos, phrases, tastes, and scents, you’ll have the opportunity to share your writing in small
groups and receive encouraging feedback from facilitators and other group members. Based on the Write Around Portland
model, this program de-emphasizes spelling, grammar, punctuation, and other things associated with high school English class.
Sharpen your pencil and get ready to dive into supportive community of writers and survivors.
—6— 2019 WBC Registration Brochure
Phoenix World Burn Congress 2019
SPECIAL EVENTS
WALK OF REMEMBRANCE PRESENTED BY
Wednesday, October 2 | 5:30pm
The burn community comes together at the annual Walk of Remembrance to
honor those who have passed from burn injuries, remember our own losses,
and raise our voices for burn care and prevention. As we return to the hotel,
we’ll shift our focus to celebration as we prepare to reconnect with life and focus
on healing throughout the conference.
We’ll leave the hotel staging area at 5:30pm, then walk together from the
Hilton Anaheim to the Grand Plaza at the Anaheim Convention Center. After a
brief program, we’ll return to the Hilton Anaheim for the Kick-Off Reception at
6:30pm. Casual dress and shoes are recommended.
KICK-OFF RECEPTION
Wednesday, October 2 | 6:30pm–9:00pm
Reunite with old friends and make some new ones at this casual light-fare opening reception. The fun will be held at the
Anaheim Hilton.
TALENT SHOW PRESENTED BY
Friday, October 4 | 7:30pm–9:30pm
Showcase your talent in this fun-filled, family-friendly event. There are no prizes
or awards – just good clean fun! There are only 20 performance slots, so sign
up early online or during registration. Please note that performance times are
limited to a maximum of 3 minutes to allow time for all performances.
CLOSING BANQUET
Saturday, October 5 | 6:00pm–11:00pm
We’ll wrap up our time together with this fun-filled evening. Join us for dinner,
the annual slideshow, and a special surprise as we reveal Phoenix Society’s new
logo. The dance floor will be hopping with something for everyone so practice
your favorite step and join the fun!
A cash bar will be provided.
—7— 2019 WBC Registration Brochure
Phoenix World Burn Congress 2019
PHOENIX UBELONG
PRESENTED BY
Calling all 7-17 year old burn survivors, PHOENIX UBELONG REQUIREMENTS
• Children must be between the ages of 7-17 at the
siblings, and children of survivors! Join the beginning of the Fall 2019 school year, and must have
Phoenix UBelong family by participating in either personally experienced a burn injury, or have been
our 9th annual youth and teen program. This affected by a burn injury of a member of their immediate
purposefully structured, three-day program family.
runs alongside the general conference and • Parents or guardians are required to be registered for
offers a supportive atmosphere for self- Phoenix World Burn Congress and to sign their child
in and out of the Phoenix UBelong program each day
expression, skill-building, peer support, and using a photo ID. The program runs from morning until
pure fun. afternoon; parents will be given designated pick up and
drop off times specific to each day of the program.
• To allow for the best experience, we ask that you commit
UNSTOPPABLE! your child’s participation each day and for the full program
Our focus this year is learning to be unstoppable, length. Age-appropriate lunch and snacks are provided to
connecting with peers, team-building, friendship, and participants daily.
inner strength.
• To get the most out of these experiences, participants
YOUTH TRACK (AGE 7-12) must:
• Offsite outing to Splitsville Lanes, where participants will
enjoy bowling with their peers. • Be able to withstand 5-7 hours of programming that
involve some periods of physical activity
• A special session with the Bully Dudes to help participants
learn and practice the skills it takes to recognize and stand • Be able to adjust to new people, new places, and new
up to bullies. things
• Activities to work on group cohesion, team building, • Have the ability to separate from parents for several
problem solving, and leadership as they make their way hours
through the Phoenix UBelong Challenge Course. • Be able to follow directions from program staff
TEEN TRACK (AGE 13-17) • Be able to cooperate with other participants in their age
• Offsite outing to Knott’s Berry Farms group
• A peer mentor visit from young adults. This is a favorite SIGN UP
amongst our teens! Register each child individually on the Phoenix WBC
• 16 and 17-year-old participants will attend open mic with registration form. Be sure to indicate that your child will be
their young adult peer mentors. attending the Phoenix UBelong program – regular registration
fees apply. A Phoenix Society representative will personally
• All ages will enjoy small group time with their peers for contact you to confirm your child’s registration and help your
fun activities and skill-building to help in their healing. family prepare for the event.
Participants can participate in yoga to master coping and
relaxation skills, or spend time with therapy dogs to help Space is limited, please register in advance.
relax.
—8— 2019 WBC Registration Brochure
Phoenix World Burn Congress 2019
WELLNESS CENTER SPONSORED BY
Daily Programming Thursday – Saturday
The Wellness Center offers restoration, tools, resources, and inspiration to support you on your healing
journey. Experts across many fields will help you learn new skills and experience complementary healing
methods.
Start the day with vinyasa (gentle) flow yoga or give Zumba a try in the afternoon! Unwind in our
dedicated massage area, coordinated by Handle With Care Massage Therapy, with a 15 minute massage
from independent licensed massage therapists, and pop in throughout the week for a quiet place to
meditate, relax, and reflect.
All levels are welcome; each program can be modified to your ability and comfort level. Additional
program listings will be available soon.
COMPLIMENTARY SHUTTLE SERVICE
Anaheim Fire & Rescue and many others have volunteered their time to assist you. Uniformed firefighters and Phoenix Society
volunteers will be easily recognizable at the airport and the hotel to guide you toward the complimentary shuttle service.
From John Wayne Airport, Orange County (Airport Code: SNA) to the Hilton Anaheim:
Wednesday, October 2 | 9:00am – 9:00pm
From the Hilton Anaheim to John Wayne Airport, Orange County (SNA):
Sunday, October 6 | 4:30 am – 3:00 pm
Please note that transportation will NOT be provided on Tuesday, October 1st.
INFANTS + TODDLERS
If you are traveling with babies or children who require a car seat or booster seat, we ask that you are aware of California law
regulating the use of car/booster seats in various types of vehicles. We encourage you to make an educated choice regarding
safety and remind you that you can choose transportation options which ensure safety belts for all ages and family members.
For information about the types of vehicles used for our complimentary airport shuttles, please contact Megan Tinney at
mtinney@phoenix-society.org.
HOTEL ACCOMMODATIONS
Remember that registration does not include your hotel accommodates at the Hilton Anaheim. At the Hilton Anaheim, we have
negotiated a rate of $196 per night plus tax/fees. This rate includes complimentary wireless internet in your room as well as
discounted Health Club Rate.
To make a reservation, visit our website for a link to the group rate: www.phoenix-society.org/pwbc2019. Do not go through the
hotel’s website. If you need to contact the hotel directly to book your reservation, please call (877) 776-4932. Identify yourself
as a Phoenix World Burn Congress Attendee to secure the reduced rate. If you are having any difficulty booking a room, please
contact Megan Tinney at mtinney@phoenix-society.org.
Reservations must be made on or before September 11, 2019 at 11:59 PM EDT to be eligible for the group rate. There is limited
room availability, so make your hotel reservations early. In the event the Hilton Anaheim is sold out, you may need to check
surrounding hotels. To cancel your reservation, call the Hilton Anaheim at (714) 750-4321.
ADA ACCOMMODATIONS
If you require ADA accommodations, please contact Megan Tinney at (800) 888-2876 or via email at mtinney@phoenix-society.
org by August 23, 2019.
CONTACT HOURS
For information about nursing contact hours, please contact Pam Peterson at (800) 888-2876 or via email at
pam@phoenix-society.org.
EQUIPMENT NEEDS
If you are in need of equipment (including motorized scooters or wheelchairs) when in town, please contact Megan Tinney at
mtinney@phoenix-society.org for more information.
—9— 2019 WBC Registration Brochure
Phoenix World Burn Congress 2019
FAMILY PROGRAMMING
Facilitated by: Kristen Quinn CHMC, CCLS and Linda Garcia, MA, CCLS
Connect with other families and learn from experts in the field of burn and family-centered care to gain new tools, insight,
and perspective. A burn injury has a profound impact on families psychologically, socially and physically. These family-focused
workshops are open to all conference attendees and have been designed to meet the specific needs of parents and families
navigating the journey of burn recovery.
WEDNESDAY, OCTOBER 2
2:00 pm–5:00 pm Caregiver Self Care: Simple Strategies to use Every Day $40
Pre-Registration Required; Space is Limited.
See pre-conference workshop descriptions on page 6.
THURSDAY, OCTOBER 3
3:00 pm–5:00 pm Family Panel: Helping Those We Love Survive + Thrive
Panelists: Brennan Christensen, Cinthya Gonzalez, Efren Gutierrez, Christie Panto
Learn about parenting strategies to encourage a positive sense of self, addressing the needs of siblings as well as
the burn-injured child, parenting after abuse, and coping with grief while parenting your surviving children.
FRIDAY, OCTOBER 4
4:30 pm–6:00 pm Family-Focused Facilitated Support Group
Our family-focused support group is designed to meet the specific needs of caregivers supporting children at all
ages (youth, teen, and adult).
SATURDAY, OCTOBER 5
10:15 am–11:30 am Families Healing Together – Family-Centered Open Mic
An open mic session for all family members that have been impacted by a burn injury.
SCHEDULE
WEDNESDAY, OCTOBER 2
10:00 am–5:30 pm Registration
10:00 am–5:30 pm Massage in Registration Area
8:45 am–5:00 pm Young Adult Workshop: Taking Chances, Enjoying the Ride $40
Pre-Registration Required; Space is Limited. See description on page 5.
9:00 am–5:00 pm Body Image, Sexuality, and Intimacy After a Burn Injury $40
Pre-Registration Required; Space is Limited. See description on page 5.
2:00 pm–5:00 pm Pre-Congress Workshops $40
Pre-Registration Required; Space is Limited. See descriptions on page 5.
• Facing the Future: Tools and STEPS to Social Confidence and Control
• Caregiver Self Care: Simple Strategies to use Every Day [Family Workshop]
• Exploring Land + Sea: Resources for Water Activity + Outdoor Recreation
• Presenting + Preserving Our Journey Toward the New Normal
5:30 pm–6:30 pm * Walk of Remembrance (See description on page 8)
6:30 pm–9:00 pm * Kick-Off Reception
THURSDAY, OCTOBER 3
7:00 am–7:45 am Yoga
8:00 am–5:30 pm Registration
8:00 am–5:30 pm Exhibitors
9:00 am–10:10 am Opening Ceremony
* Events indicated with an Asterisk are social events
— 10 — 2019 WBC Registration BrochurePhoenix World Burn Congress 2019
10:30 am–5:15 pm Phoenix UBelong (See description on page 9)
10:30 am–11:30 am Stay Strong Finish Strong – The Flames That Made Me Stronger
Israel “DT” Del Toro, Jr.
11:30 am–12:50 pm Lunch (on own)
1:00 pm–6:30 pm Wellness Center Programming
1:00 pm–2:15 pm Healing Through Our Stories—Open Mic
3:00 pm–5:00 pm Creative Cosmetics: Image Enhancement Tips + Tools for Burn Survivors
Individual Makeup Sessions and Group Demonstration for survivors, family members, and burn care
professionals - Barbara Kammerer Quayle and Expert Makeup Specialists
3:00 pm–5:00 pm Family Panel: Helping those we love survive + thrive
Facilitated by Kristen Quinn, CMHC, CCLS and Linda Garcia, MA, CCLS
3:00 pm–5:00 pm Breakout Sessions
• Telling Your Story With Purpose: Learn to change hearts + minds by sharing your experience – Niki Acton
• Adults Burned as Children – Sam Price MHDL, NCC, LPC
• Thinking Outside of the Box: Finding Recreation, Leisure + Sport in Your Life – Dr. Jamie Hoffman, CTRS
• In the Line of Duty Panel Discussion: Challenges Faced by those Who Serve (open to all attendees)
Panel Moderated by Karen Badger, PhD; Phil Tammaro, Firefighter
• Sexuality and Intimacy for Survivors and Family Members (survivors and family members only)
Cindy Rutter, BSN, MFTI; Ruth Rimmer, PhD, CLCP
• An Intimate Conversation: Sexual Health Following a Burn Injury (Provider/Professional):
Radha Holavanahalli, PhD
• Complicated PTSD: Information for the Survivor + Family Members (survivors and family members only)
James Bosch, MA, LMFT; Megan Bronson, PMHCNS-BC; Christopher James, MA, MFTI
• Complicated PTSD: Information for the Professionals + Providers of Care — Session Leaders TBA
5:30 pm–6:30 pm Support Groups
6:45 pm–7:45 pm Friends of Bill W
FRIDAY, OCTOBER 4
7:00 am–7:45 am Yoga
8:00 am–5:00 pm Registration
8:00 am–2:00 pm Exhibitors Open
8:00 am–9:00 am Aftercare Reintegration Committee
8:45 am–4:00 pm Phoenix UBelong (See description on page 9)
9:00 am–10:15 am Happiness through Gratitude, Compassion + Forgiveness
Frederic Luskin, PhD
10:45 am–12:15 pm Healing Through our Stories—Open Mic
10:45 am–12:30pm Wellness Center Programming
10:45 am–12:30 pm Creative Cosmetics: Image Enhancement Tips & Tools for Burn Survivors
Individual Makeup Sessions and Group Demonstration for survivors, family members, and burn care
professionals - Barbara Kammerer Quayle and Expert Makeup Specialists
12:30 pm–2:00 pm Lunch (on own)
2:00 pm–2:15 pm Exhibitor Drawing (must be present to win)
* Events indicated with an Asterisk are social events
— 11 — 2019 WBC Registration BrochurePhoenix World Burn Congress 2019
2:00 pm–4:00 pm Creative Cosmetics: Image Enhancement for Burn Survivors
Individual Sessions. First come, first serve - Barbara Kammerer Quayle and Associates
2:00 pm–6:00 pm Wellness Center Programming
2:00 pm–4:00 pm Breakout Sessions
• Why Advocacy?: Making a Difference in the Burn Community + Beyond — Moderated by Niki Acton, Amy
Acton, RN, BSN
• Social Reintegration: Helping Survivors and their Families Re-Engage in their Communities — Barbara
Kammerer Quayle, MA; Mona Krueger, MA, MSW
• Substance Abuse, Opioid Addiction + Trauma — Michael Bergeron MA, LMHC; Christopher James, MA, MFTI;
Julie Stefan, MSW, LCSW; Jeannie Singleton, MSW, LSW
• Canine Companions — Bob Nice and Associates
• Complicated PTSD — (survivors and family members only; repeat session from 10/3) James Bosch, MA, LMFT;
Megan Bronson, MSN, RN, CS; Christopher James, MA, MFTI
• After the Fire: Finding and Maximizing Your Resilience — Lise Deguire, Psy.D
• Understanding the Role of Lasers: Science vs Myths — Victor Joe, MD + Panel
4:30 pm–6:00 pm Support Groups
6:30 pm–7:15 pm Friends of Bill W
7:30 pm–9:30 pm Talent Show
SATURDAY, OCTOBER 5
7:00 am–7:45 am Yoga
8:00 am–12:00 pm Registration
8:45 am–11:30 am Phoenix UBelong
9:00 am – 10:00 am Live Life to the Fullest
Cindy Rutter BSN, MFTI, Derrick Green
10:00 am–11:00 am Young Adult Workshop Closing Session
10:15 am–11:45 am Healing Through Our Stories—Open Mic
10:15 am–11:30 am Families Healing Together – Family Centered Open Mic
10:15 am – 11:45 am Wellness Center Programming
12:00 pm–1:00 pm * Closing Ceremony
1:00 pm–2:30 pm Lunch (on own)
2:30 pm – 4:30 pm Support Groups: Creating + Maintaining
Rich Casias, Julie Stefan, MSW, LCSW, Scott Denman, James Bosch, MA, LFMT
2:30 pm–3:30 pm Friends of Bill W
2:30 pm – 6:00 pm Free Time
Take the opportunity to explore Anaheim, connect with new and old friends, or rest and restore!
6:00 pm–11:00 pm * Closing Celebration —Dinner and Entertainment
* Events indicated with an Asterisk are social events
— 12 — 2019 WBC Registration BrochurePhoenix World Burn Congress 2019
THANK YOU TO OUR 2019 SPONSORS!
This life-changing program would not be possible without financial support from our sponsors.
DIAMOND SPONSORS
PLATINUM SPONSORS
GOLD SPONSORS
SILVER SPONSOR BRONZE SPONSORS
ARBONNE CHARITABLE FOUNDATION
BIO-CONCEPTS, INC.
CHICAGO FIREFIGHTERS BURN
EXSURCO MEDICAL RICHARD MILLER (IN MEMORY OF IRIS MILLER)
PORTLAND FIREFIGHTERS CHILDREN’S BURN FOUNDATION
VERICEL
Become a Phoenix WBC Sponsor
Without our generous sponsors, conference registration would be $800. Join us for this life-changing event
that supports and empowers survivors and their families to thrive after a burn injury.
Please visit www.phoenix-society.org/wbc/sponsors for available sponsor opportunities.
— 13 — 2019 WBC Registration BrochurePHOENIX WORLD BURN CONGRESS 2019
REGISTRATION FORM
I. Attendee Name/Address (Please print or type.)
Name: ______________________________________________________________________________________________________________________________
Last First
Business: ___________________________________________________________________________________________________________________________
Address: ___________________________________________________________________________________ Home or Work? _______________________
City:_____________________________________________________State:_________ZIP:________________ Country: _______________________________
Phone:_____________________________________________________________________________________ Home or Work? _______________________
Email: ______________________________________________________________________________________________________________________________
Please circle: Burn Survivor Family Friend Professional Firefighter Military Other: ___________________________________
First-Time Attendee? Yes_______ No_________ Age: 7-17 18-25 26-39 40-55 56-over Date of Birth: ____/____/_____
Please circle your age so we can help to best meet Required for Phoenix UBelong
your program needs in the future.
ADA Accommodations: If you require ADA accommodations, please contact Megan Tinney at (800) 888-2876 or via e-mail at
mtinney@phoenix-society.org by August 23, 2019.
Please describe on your registration form any special needs. (Please be specific): _______________________________________________
La Phoenix Society está considerando ofrecer en español algunas de las Sesiones del Congreso.
¿Utilizaría usted este servicio si estuviera disponible? Sí_____ No_____
II. Phoenix UBelong Pre-Registration (age 7-17 ONLY)
m Check here if above attendee is pre-registering to attend the Phoenix UBelong program.
Please be advised this does NOT guarantee registration into the Phoenix UBelong program. Phoenix UBelong is first come, first serve.
We expect the program to fill up. Additional registration forms are required.
III. Sponsoring Organization or Individual – Complete only if attendee is sponsored
Name/Business: ____________________________________________________________________________________________________________________
Address: ___________________________________________________________________________________________________________________________
City:_________________________________________________________ State:__________ZIP:_________________ Country: ________________________
Phone:______________________________________________________ Email: ________________________________________________________________
IV. Registrations Fees
Full Registration Options Optional Half-Day Pre-conference Workshops $40.00
Registration on or before 9/3/19 $305.00 Pre-registration is required for workshops. Please choose only 1 workshop.
Registration after 9/3/19 $415.00
m *Young Adult Workshop: Taking Chances, Enjoying the Ride
W/ CEU’s on or before 9/3/19 $415.00
m *Body Image, Sexuality, + Intimacy after a Burn Injury
W/ CEU’s after 9/3/19 $520.00
m Facing the Future: The Tools and STEPS to Social Confidence and Control
Virtual Experience FREE
m Family Workshop: Caregiver Self Care - Simple Strategies to Use Every day
Virtual Experience (with CEU’s ) $40.00 m Exploring Land and Sea: Resources for Water Activity + Outdoor
Full registration includes Kick-Off Reception and Closing Recreation
Celebration – more meals may be provided. m Presenting and Preserving Our Journey Toward the New Normal
Guests of attendees who wish to attend Saturday’s Closing (*notes a full day workshop)
Celebration ONLY must purchase a $110.00 ticket.
Remember! V. Payment Method
• Registration does not include your hotel Please make checks payable in U.S. funds to Phoenix Society for Burn Survivors.
accommodations.
• Online hotel reservations are being Please circle: Check VISA MC Discover AmEX
accepted now at www.phoenix-society.
org/wbc-reg. Credit Card Number: ___________________________________________
• To Register by phone, call the Hilton
Anaheim at +1-877-776-4932. Identify Exp Date: ______ Signature: _____________________________________
yourself as a PWBC Attendee in order to
secure the reduced rate. Return this form with payment to:
• The room block is expected to fill quickly, Phoenix Society for Burn Survivors
so don’t delay. The cutoff date for
525 Ottawa Ave NW FRNT
reservations is September 11, 2019.
Grand Rapids, MI 49503Non-Profit Org.
US Postage
PAID
Grand Rapids, MI
THE PHOENIX SOCIETY, INC.
525 Ottawa Ave NW
Grand Rapids, MI 49503
1.800.888.2876
fax: 616.458.2831
www.phoenix-society.org
info@phoenix-society.org
LOCATION HIGHLIGHTS
PHOENIX WORLD BURN CONGRESS 2019
REGISTRATION BROCHUREYou can also read
