We look forward to you joining us at the New Jersey Pediatric Psychiatry Collaborative (NJPPC) Cooper Regional Dinner and CME Presentation, "School Avoidance/Refusal: Why Some Kids Won't Go to School and What to Do About it," with Dr. Gwendolyn Messer.
The event will be held at Maggiano's Little Italy in Cherry Hill (2000 NJ-38 Suite 1180, Cherry Hill Township, NJ 08002) on March 25, 2026, from 5pm to 8pm (Program starts at 6 PM). Free Parking is available. Additional details to follow.

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* 1. Demographics

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* 2. NPI Number (if not applicable, please write "NA")

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* 3. Please indicate if you are an attending or a medical resident at your practice:

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* 4. Are you a member of the New Jersey Pediatric Psychiatry Collaborative (NJPPC)?

Not a member? Find a link to the registration form at the end of the survey.

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* 5. Are you a member of the New Jersey Chapter of the American Academy of Pediatrics? (Please note, this is a separate membership from the national American Academy of Pediatrics)

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* 6. What questions do you have for our presenter on the topic of School Anxiety and Refusal?

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* 7. Do you have any questions for our Physician Champion on how they integrate mental health care and/or work with the NJPPC in their practice?

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* 8. Do you require a Kosher meal? (If you indicate "yes," please check your email for more information as the event gets closer.")

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* 9. Do you require any special accommodations or is there anything else you would like us to know (e.g., food allergies)?

Not a NJPPC member? Register here! https://www.nj-ppc.org/registration/

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