Indianapolis Marriott Downtown | Indianapolis, IN … Phoenix World Burn Congress — 6 — 2015 WBC...

Lead Sponsors:

www.phoenix-society.org All Congress sessions will be held at the Indianapolis Marriott Downtown Hotel.

27TH ANNUAL PHOENIX WORLD BURN CONGRESS 2015 REGISTRATION BROCHURE

Indianapolis Marriott Downtown | Indianapolis, IN October 21-24, 2015

Lead Sponsors:

www.phoenix-society.org

2015 Phoenix World Burn Congress

— 2 — 2015 WBC Registration Brochure

Location HighlightsIndianapolis contains six thriving and distinct Cultural

Districts, each offering an eclectic mix of shopping, dining and entertainment. The city’s newest amenity, the Cultural Trail, is a bicycle and pedestrian path that winds through downtown connecting visitors with these unique neighborhoods. Numerous parks, paths and recreational amenities make Indy conducive to hosting energetic visitors of all ages and ability. With its rich soil and surrounding agriculture, Indy has been supporting farm-to-table restaurants for decades, with local farmers providing the freshest in produce and protein to menus.

Looking for sports – Indy has it all - collegiate, amateur, professional. From top-ranked teams to award-winning facilities, and the experience of hosting over 400 national and international sporting events over the past 30 years.

Indianapolis is full of culture! Live theatre is thriving, and talent can be found around every corner. From professional productions to eclectic and quirky performances, there is something for everyone to enjoy. The city’s museums have garnered international recognition for creativity and excellence. With numerous quality and unique institutions there is bound to be one that appeals to every interest and age. Indianapolis is

also home to more memorials honoring our nation’s veterans than any other city in the United States, second only to Washington, D.C. Acres upon acres are dedicated to honoring and remembering past heroes.

CONFERENCE HOTEL INFORMATIONThe 27th Annual Phoenix World Burn Congress will

be held at the Indianapolis Marriott Downtown. The Phoenix Society has negotiated a room rate of $165.00 per night plus taxes. Reservations MUST be guaranteed with a major credit card or first night’s full deposit.

RESERVE YOUR ROOM NOW by going to www.phoenix-society.org/wbc-reg or calling the Indianapolis Marriott Downtown at 1-877-640-7666. When you call, be sure to mention that you are with the Phoenix World Burn Congress 2015. The room block is filling quickly, so reserve your room as soon as possible. No room reservations will be taken after September 25, 2015.

Indianapolis Marriott Downtown350 West Maryland StreetIndianapolis, IN 46225Reservations: 1-877-640-7666

Omni Providence Hotel and RI Convention Center | Providence, RI

October 19-22, 2016

http://www.phoenix-society.org/wbc-reg

http://www.phoenix-society.org/wbc-reg



FEATURED SPEAKERS & PRESENTATIONSTHE POWER OF ONE - ONE PERSON CAN CHANGE THE WORLD; THAT PERSON IS YOUJOHN O’LEARY

THE STRENGTH OF HOPEJILL SPROUL & KEVIN COOK

IT TAKES A TEAM JEFF SATURDAY

Journey alongside John O’Leary as he revisits the day he was burned on 100% of his body as a nine year old. On this dynamic walk, you will stand with him on the night he was told he’d die; the afternoon he first believed he wouldn’t; and other formative experiences after the fire. Along the way, John will share the critical lessons he learned with help from friends both old and new. You will gain tools to enhance your career, relationship, finances and health and well-being.

You will be moved from tears to laughter and given hope for tomorrow and confidence in today. The Power of One will inspire growth in all facets of life. You will leave knowing that one person can change the world; and that person can be you. Prepare to take back your life, ignite your possibility and change your world.

Most of us have experienced times in our life when we have gone from hopeful to hopeless. Sometimes finding hope can be difficult as we face tremendous challenges and loss.

Kevin Cook and Jill Sproul share their individual journeys and their journey together as burn survivors. Kevin was burned as an adult and Jill was injured as a child. Jill has gone on to become a nurse and has worked in burn care for the past 25 years as a bedside RN and now as the Burn Center Nurse Manager of the Santa Clara Valley Medical Center. They both are active in reintegration activities and with the Phoenix Society; Kevin as a photographer and Jill as a Phoenix Society Board of Directors member. By sharing how they journeyed from hopelessness to rich and full lives, they will endeavor to challenge the audience to look for hope and meaning in their daily lives and embrace the possibility of creating the future we all want and deserve.

Fourteen year professional football veteran and current ESPN commentator Jeff Saturday and his family have taken lessons from the football field and turned them toward a life of service in the burn community. While his football career included 13 seasons with the Indianapolis Colts, one with the Green Bay Packers, 6 Pro Bowls and a Super Bowl, life’s path also brought the burn injuries of his youngest son and the son of a close family friend. The Saturday family has learned firsthand the long recovery process of a burn injury and its impact on the child and the entire family. Today, they give back to the burn community through burn camp sponsorship and more.

Saturday links lessons from the football field to the burn survivor journey and burn support world. He’ll include teamwork as he discusses the elements of healing, including goal setting, communication and surviving together.

This message will reach listeners of all ages by acknowledging the impacts of injury and healing on everyone on a “team” (family, friends, and health care professionals) as well as how all can work together to make those milestones in the survivor journey happen.



KNOWING THE ESSENCE OF YOU CAROL JUERGENSEN SHEETS, LCSW, PCC, CSAT

This presentation is for anyone who needs a confidence boost as they navigate through the stresses of life. It is for staff, caregivers, and trauma survivors who are looking to increase their sense of self and feel inspired to live their best life!

This presentation helps participants to identify and claim their strengths and build the self confidence to get through the hard times and move through the trauma that naturally accompanies working with burn survivors or recovering from the trauma. Participants will learn how to use resiliency skills to shift a difficult situation into a life strengthening one.

Research shows that there are 3 primary factors to turning your life around from anger, sadness and grief to one of happiness and well being: staying in the moment, gratitude, and reframing.

Pre-Congress WorkshopsOctober 21, 2015 | 2:00–5:00pm

AN EXPERIENTIAL INTRODUCTION TO ENERGY MEDICINEAMELIA VOGLER, MS, HTCP/I

This is more than a lecture! In our time together, you will hear about the growing field of Energy Medicine and also get to experience and learn a few introductory energy-based methods. We will review applications of energy medicine and healing touch therapy in clinical and home settings; learn about the energy system and how to work with this system; and experience a few simple, effective, and supportive energy work methods that you can use immediately for yourself and family members.

Currently, more and more hospitals and clinics are including types of energy medicine in their integrative offerings. Persons who have access to energy-based complementary support report a reduction in symptoms, decreased pain, increased relaxation, more restful sleep; and an increase of spiritual connection. My goal is to empower you through education and experience so that you can begin to understand and use energy as a healing tool for yourself and those that you are close to.

When life becomes difficult it is natural to feel like a victim and this presentation reminds the participants that using life skills keeps them empowered. They will learn to redirect their life so they will cope better and feel stronger as they navigate their life. Participants will walk away feeling inspired and empowered to look at life with a positive spin!

AMPUTATION IN THE BURN SURVIVOR: Advancements in Technology and their Impact on Physical, Social and Psychological RecoveryDR. RAJIV SOOD

When a burn injury occurs, an amputation may also occur. This event can present its own unique challenges during the stages of recovery, acceptance and returning to an active life. During this session we will talk about the medical and surgical implications of treatment for the burn patient requiring amputation. We will explore the social and psychological impact of amputation in the burn survivor. And we will provide you with information on the current medical devices and advancements in technology for the burn amputee.

This workshop is presented by Dr. Rajiv Sood, a leading physician in the field of plastic surgery. Dr. Sood is the Medical Director of the Richard Fairbanks Burn Center and Riley Children’s Hospital Burn Center. He is also the Chief of the Division of Plastic Surgery at the Indiana



University School of Medicine and serves as Program Director, Plastic Surgery Residency and Medical Director, Indiana University Burn Centers. Dr. Sood will be joined by several panelists from the health care and burn survivor communities who are knowledgeable about burns, therapies and living with an amputation. Panelists: Shawn Brown, CPO, LPO; Cassandra Rush, DPT; Karen Robertson, PT; Susan Hardesty, OT, CHT; Rene Olibo; Jeremy Warriner; Gerald Stark, MSEM, CPO/L, FAAOP.

ADULTS BURNED AS CHILDREN, ADOLESCENTS, AND YOUNG ADULTSMEGAN BRONSON PMHCNS-BCSAMANTHA PRICE, MDHL, NCC, LPC

Trauma in childhood, adolescence, and young adulthood has psychological, emotional, physical, spiritual and social ramifications. Trauma also has an impact on development. Each developmental stage has tasks and skills to be mastered as the child, adolescent and young adult move toward being able to manage life and become an independent, functioning adult. Burn trauma can pull the young survivor off course and delay mastering these developmental milestones.

This workshop focuses on identifying the impact of burn trauma across the developmental continuum and on overcoming trauma symptoms. Developing skills and ways to overcome developmental delay and get your life moving forward and back on track will also be addressed. This workshop is appropriate for burn survivors who were injured in childhood, adolescence, or young adulthood. It is also appropriate for their families, significant others, and caregivers who support the burn survivor and who have also been impacted by the trauma.

FACING THE FUTURE... STEPS TO SOCIAL CONFIDENCE AND CONTROLBARBARA KAMMERER QUAYLE, MONA KREUGER, TONY GONZALES

This power-packed workshop provides the “tools” for survivors and families to get back to living after a burn injury. It enables YOU to successfully feel comfortable and confident in any social, work, or school setting. You will learn common sense, specific, and smart ways to confidently 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 REAL social control, social comfort, and social competence!



Young adults ages 18-25 are invited to a fun and deep way to experience Phoenix World Burn Congress. With this year’s Indy-inspired theme we will find power in facing our self-limiting beliefs and steering life in the directions we want to go.

Two workshop tracks for Wednesday will offer focused content for different stages of recovery that include either an opportunity for deepened self-awareness or outreach/service to others. Young adult support groups, opportunities for some participants to work with and support other conference attendees (youth or adults), and actually being in the driver’s seat at The Dallara IndyCar Factory will be highlights of our workshop time! Year after year, attendees tell us that the workshop is only the beginning. The best part is making new friends and taking on a big city with them and with a new-found confidence. Pre-registration required. Space is limited.

Commitment includes ALL parts of the program, including on-time arrival Wednesday morning:

• Wednesday, October 21, 2015 - 9:30am-5:00pm workshop (includes outing to Dallara Indycar Factory with race experience)

• Thursday, October 22, 2015 - Support Group • Friday, October 23, 2015 - Panel Discussion: Young Adults: Relating

and Relationships• Saturday, October 24, 2015 – 10:00am-10:30am workshop closing

JESSICA IRVEN, MS, CCLS, LRT/ CTRS

BLAKE TEDDER, MSW

YOUNG ADULTS: YOU’RE IN THE DRIVER’S SEAT!

“IT’S TIME TO TAKE THE WHEEL AND CHOOSE HOW YOU WANT TO LIVE!”

– BRAD JACKSON, PHD, CARLA OLIVER, MSW, CCLS, JANINE FISK AND DAVE & CARLY BOWERS

A burn injury has a profound impact on children, teens and families psychologically, emotionally, socially and physically. Parents/guardians of children with burn injuries or who are injured themselves can join this workshop to explore what your family has experienced and to gain useful tools to manage the future.

Dave and Carly Bowers and Janine Fisk will be sharing their experiences of how a burn injury has impacted their families and also enabled them to connect, teach, inspire and challenge others by using their stories to make a lasting impact on the lives of others.

Facilitated large and small group support opportunities will be integrated throughout the workshop.

Join us following the workshop for a PARENT SUPPORT GROUP 5:15pm - 6:30pm

PARENT WORKSHOP | THURSDAY, OCTOBER 22, 2015, 3:00–5:00pmWHAT’S NEXT? ADDRESSING THE NEEDS OF THE FAMILY AFTER BURN INJURY



ADVOCACY TRAINING FRIDAY, OCTOBER 23, 2015 | 10:15AM–12:00PMAdvocacy is the act of pleading for, supporting, or recommending something. Every burn survivor reflects a unique story of pain, healing, and lifelong journey of recovery. Loved ones of burn survivors, healthcare professionals and fire service carry a unique story as well. At the Phoenix Society, we believe that no survivor, family member, firefighter or healthcare professional should have to carry that story alone. Join us for the Phoenix Society Advocacy Training and gain the tools needed to present your story with purpose and effectiveness to the media, the public and lawmakers as a Phoenix Advocate. We believe by bringing together our individual stories and raising our voices as a burn community, we can increase understanding of burn issues, improve burn prevention efforts, reach more burn survivors and address other issues important to the burn community.

WALK OF REMEMBRANCEWEDNESDAY, OCTOBER 21 | 6:00PM The conference begins with a “Walk of Remembrance” from the Indianapolis Marriott Downtown to the Indiana State Capitol to honor those who have died from their burn injuries and to offer a time to remember our own losses related to burn injuries. It is important to remember our losses so we can reconnect with life and continue to heal-which is the goal for the next few days.

Firefighters and Volunteers will be escorting attendees along the walk route on this symbolic opening of the 27th Annual Phoenix World Burn Congress. The Walk of Remembrance will also serve to remind the general public that burn care and prevention are critical.

We will leave the hotel staging area at 6:00pm. After the remembrance walk we will return to the Indianapolis Marriott Downtown for the kick-off reception starting at 7:30pm. Casual dress and comfortable shoes encouraged.

ANNUAL EVENTS

PHOENIX WBC KICK-OFFWEDNESDAY, OCTOBER 21 | 7:30–10:00PMWhat a way to start WBC! This casual light-fare event provides the perfect opportunity to reunite with old friends and make some new ones. The fun will be held at the Indianapolis Marriott Downtown. Entertainment will be provided.

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AMTA AND ETC THE SPA IS EXCITED TO OFFER MASSAGE FOR ATTENDEES!The American Massage Therapy Association© (AMTA), the largest non-profit, professional association serving massage therapists, massage students and massage schools, is honored to be able to carry on the legacy of working with the

* Events indicated with an Asterisk are social events

PHOENIX WBC’S GOT TALENT IS BACK!!! FRIDAY, OCTOBER 23 | 7:30–9:30PMWe invite you to participate in this fun-filled, family-friendly event in which you can showcase your talent. Pre-registration is required. All acts will be screened so, please, select material that is appropriate for all ages. All performers are required to provide their own props. Rehearsal on Friday prior to the show. Visit http://www.phoenix-society.org/wbc-reg for more information and to register for the Talent Show. Registration will be available on site. Space is limited to 20 acts.

Sponsored by

CLOSING BANQUETSATURDAY, OCTOBER 24 | 6:00PM–MIDNIGHT Celebrate what this week has been all about at our Closing Banquet! We wrap up our time together with this fun-filled evening. Join us for dinner, closing remarks, and dancing. Dress to the nines or dress to the ones, it doesn’t matter at all. Entertainment will be provided. 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. See you there!

http://www.phoenix-society.org/wbc



REGISTRATION INFORMATIONTo register, use the enclosed registration form or visit www.phoenix-society.org/wbc-reg. Early registration is strongly recommended. Save $100 when your registration form with payment is postmarked or faxed to the Phoenix Society no later than September 25, 2015.

Registration fee includes the following: • Wednesday evening’s kick-off event • Saturday evening’s closing banquet

Registration cancellation must be made in writing to the Phoenix Society. An administrative fee of $35 will be charged for cancellations. No refunds will be given for cancellations made after September 25, 2015.

ONSITE REGISTRATION/INFORMATION HOURSWednesday 10:00 am–6:30 pm Friday 8:00 am–5:00 pm Thursday 8:00 am–5:00 pm Saturday 8:00 am–12:00 pm

LIMITED PHOENIX WBC SCHOLARSHIPS AVAILABLEThe Phoenix World Burn Congress George Pessotti Scholarship Fund, supported by generous individuals and businesses, allows the Phoenix Society to offer limited scholarships of assistance to help individuals and families attend Phoenix World Burn Congress. This program is designed to offer aid in attending the conference and is not intended to cover all financial costs incurred. It is our goal to partner with you to help make the Phoenix World Burn Congress experience possible.

Application deadline is July 1, 2015To complete your application and learn more about the Phoenix World Burn Congress George Pessotti Scholarship Fund visit http://www.phoenix-society.org/wbc/attendee-scholarships.

TRANSPORTATIONCOMPLIMENTARY SHUTTLE SERVICE – Indianapolis International Airport (IND) Indianapolis, IN, Amtrak, and the Greyhound Bus Terminal, ONLY.

The Indianapolis Fire Department and many others have volunteered their time to assist the Phoenix Society and you. Uniformed firefighters will provide complimentary shuttle service from the Indianapolis International Airport (IND), Indianapolis, IN, the Amtrak Indianapolis Train Station, and the Greyhound Bus Terminal to the Indianapolis Marriott Downtown. After Phoenix World Burn Congress has concluded, the firefighters will also shuttle you back.

SHUTTLE TO INDIANAPOLIS MARRIOTT DOWNTOWN Tuesday, October 20, 2015, 10 am – 9 pm Wednesday, October 21, 2015, 9 am – 9 pm

SHUTTLE FROM INDIANAPOLIS MARRIOTT DOWNTOWN Sunday, October 25, 2015, 4:30 am – 3 pm

Please submit your travel information by September 30, 2015 by going towww.phoenix-society.org/wbc/travel/

Phoenix World Burn Congress for the fourth year. This year, the Certified Massage Therapists of the Indiana Chapter will be volunteering their time to provide complimentary 15 minute sessions to the attendees. (Longer sessions may be available at a nominal fee – speak with the massage coordinator for details).

ETC THE SPA in the Richard M. Fairbanks Burn Center is a full service medical spa at Eskenazi Health. Under the direction of Dr. Rajiv Sood, M.D., F.A.C.S. ETC THE SPA uses the highest quality medical grade products and offers relaxing and therapeutic skin care and massage services. They believe that proper skin care is extremely therapeutic and provides long-lasting benefits for your skin’s appearance and health. To learn more about ETC THE SPA please call 1-317-880-6880.

Sign-up sheets will be available each day in the lobby area (or designated area). Services are available in 15 minute increments. Everyone is welcome!

www.phoenix-society.org/wbc

http://www.phoenix-society.org/wbc/attendee

www.phoenix-society.org/wbc/travel



CHILDCARE SERVICESOnsite childcare services are available for all attendees with children ages 6 years old and under. For a nominal fee of $25 per child per day, professional caregivers will care for your children while you attend sessions at Phoenix World Burn Congress. The experienced childcare providers will offer comfort, support and entertainment for your children in a safe and compassionate environment. Phoenix UBelong staff will visit childcare daily to incorporate therapeutic programming which mirrors the theme of Phoenix UBelong. Breakfast, lunch and snacks will be provided in the childcare room. Care will be available Thursday 8:00am-5:30pm, Friday 8:00am-4:00pm and Saturday 8:00am-4:30pm. Saturday childcare fee includes a banquet ticket for the child. Pre-registration is recommended since space is limited. Onsite registration will be based on availability. Please contact Nicole Perry at 616-350-3906 or at [email protected] for more information.

SHUTTLE FROM INDIANAPOLIS MARRIOTT DOWNTOWN Sunday, October 25, 2015, 4:30 am – 3 pm

CONTACT HOURSIndiana University Health, Indianapolis, has been approved by the Indiana Social Worker, Marriage and Family Therapist and Mental Health Counselor Board to provide Category I Continuing Education program for: LSW, LCSW, and MTC.

IU Health Indianapolis (OH-412, 6/1/2016) is an approved provider of continuing nursing education by the Ohio Nurses Association (OBN-001-91), an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. For information on contact hours, please contact Pam Peterson at 1-800-888-2876 or [email protected].

OTHER TRANSPORTATION OPTIONS AVAILABLE TO INDIANAPOLIS, INTaxi – Average fare of $40.00 from the Indianapolis Airport to Indianapolis Marriott Downtown. There is minimum fare of $15.00 on all fares from the airport.

SuperShuttle® – Consult their website (www.supershuttle.com) or contact them directly at 1-800-258-3826 for times and fares.

IndyGo (Public Transportation) – Leaves airport (zone 6) via route 8 to JW Marriot every 30 minutes (3 blocks from Indianapolis Marriott Downtown). Cost is $1.75.

Go Express – Reservations can be made by going to www.goexpresstravel.com or 1-800-589-6004. ADA requests must be made by phone. Shuttle leaves airport every 30 minutes; recommended stop is Stop 2 (convention center). Cost is $10.00 each way.

Amtrak offers a 10% discount off the best available rail fare to Indianapolis, IN between October 18, 2015 and October 28, 2015. To book your reservation call Amtrak at 1-800-872-7245 or contact your local travel agent. Convention Fare code: X60W-927. The Fare code cannot be used for Internet booking. The Fare code is only good for travel to and from Indianapolis, IN. Greyhound Bus also arrives in Indianapolis, IN. Consult www.greyhound.com for available dates and times.

Amy Acton Amy Clark Stephanie Farquhar Megan Geerling

PHOENIX UBELONG PLANNING COMMITTEEAmy ClarkCheryl DahlingLisa Donovan

PHOENIX WBC 2015 PLANNING COMMITTEE

Mark KoopmanDonna McCartneyRebecca Parmenter

Jeanne LaSargeBono Joe Minogue Amar Patel

Angie Gregg Kerri HansonJamie Heffernan

Caitlin DoughertyJessica IrvenBrad Jackson

Nicole PerryKristen QuinnKelly Rowles

Angela SeitzMarkelle Springsteen

Pam Peterson Kelly Randsell Audrey Scott

Larry StanfordMegan Tinney Mike Williams

phoenix-society.org

phoenix-society.org

phoenix-society.org

http://www.supershuttle.com

http://www.goexpresstravel.com

http://www.greyhound.com



PHOENIX UBELONG YOUTH AND TEEN: Calling all 7-17 year olds! We invite you to join the Phoenix UBelong family by

participating in our sixth annual Youth and Teen program. This carefully structured, three day program runs parallel to the general Phoenix World Burn Congress. Whether you are a burn survivor, a sibling of a burn survivor or a child of a burn survivor, our Youth and Teen program welcomes you and offers a supportive atmosphere for self-expression, skill-building, peer support and pure fun! YOUTH AND TEEN (7-17 years) PROGRAM HIGHLIGHTS:

· Small group discussions – Participants will be placed in small groups with other attendees their age for most of the program and will learn social skills including addressing stares, answering questions, dealing with bullying/teasing and sharing their stories. Participants will also talk about what it’s like to deal with scars on themselves or their loved ones at different stages of life.

· Large group time – We’re in this together! Daily large group time is reserved to promote a sense of community amongst attendees. Large group activities focus on developing a sense of security, therapeutic expression, acknowledging individual differences and participants learning that they are not alone.

· Mentorship –This year will include a focus on serving one another. Participants will learn how to be a mentor by sharing their stories and providing positive encouragement to peers. Older teens will receive a visit from Phoenix Young Adult Workshop participants who will share stories of healing and “growing up”, while younger groups will practice mentorship and service with one another.

Requirements for the Phoenix UBelong Youth and Teen Program:To be eligible to attend, children must be between the ages of 7-17 at the beginning of the Fall 2015 school year, and must have either personally experienced a burn injury, or have been affected by a burn injury of a member of their immediate family.

· Parents or guardians are required to be registered for Phoenix World Burn Congress and to sign their child in and out of the Phoenix UBelong program each day using a photo ID. Phoenix UBelong runs from morning until 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 to your child’s participation every day and for the full program length. Age-appropriate lunch and snacks are provided to program participants each day.

To get the most out of these experiences participants must:· Be physically able to withstand 5-7 hours of programming that will involve some

periods of sitting and some periods of activity.· Be able to easily adjust to new people, new places and new things. · Have the ability to comfortably separate from parents for several hours.

HOW TO SIGN UPRegister each child individually with the Phoenix WBC registration form. Make sure

to indicate that your child will be attending the Phoenix UBelong program – regular registration fees apply. Parent workshop is included in registration. Please note: The Young Adult program (for ages 18-25) is an additional workshop fee that includes Wednesday workshop from 9am – 5pm; please sign up accordingly on the registration form. Space is limited, please register in advance.

A Phoenix Society representative will personally contact you to help you and your family prepare for the event. If you have registered for the Phoenix UBelong Youth and Teen program, please also expect to share additional information specific to this program closer to the event.

Phoenix UBelong YOUNG ADULT: ages 18-25Young adults are invited to attend a multi-session workshop that explores living life to the fullest by taking charge and being in control of our own lives. Connections with other young adults are a favorite part of this workshop year after year. A separate registration fee is required and includes a full day of programming Wednesday from 9:00am – 5:00pm. 2015 highlights include helping with outreach to other conference attendees and a team building outing to explore what Indiana is known for – its car racing. See page 6 for more detailed information.

Phoenix UBelong PARENTS: A special Parent Workshop will be held during the general conference Thursday 3:00pm – 5:00pm and is designed to help parents/guardians identify the effects of a burn injury on the entire family. This year, participants will be exploring the power of their individual stories and their unique voices and learn ways to use their stories in a positive way. Phoenix UBelong also offers a childcare program for children under 6 years of age. For more information about this program, see page 6.

For more information about the Phoenix UBelong program contact Nicole Perry at [email protected]

http://mailto:[email protected]



ScheduleWednesday, October 21 10:00 am–6:30 pm Registration9:30 am–5:00 pm Young Adults: You’re in the Driver’s Seat!

It’s time to take the wheel and choose how you want to live! Open to 18-25 year olds. See description on page 6. (Pre-registration required; space is limited. $35 fee)

3:00 pm–5:00 pm Pre-Congress workshops See descriptions on pages 4 & 5. (Pre-registration required; space is limited. $35 fee) • An Experiential Introduction to Energy Medicine • Knowing The Essence of You • Amputation in the Survivor: Advancements in Technology and their Impact on Physical, Social

and Psychological Recovery • Adults Burned as Children, Adolescents and Young Adults • Facing the Future...STEPS to Social Confidence and Control

6:00 pm–7:30 pm Walk of Remembrance See page 7.

7:30 pm–10:00 pm Kick-offevent light fare and entertainment Indianapolis Marriott Downtown, Marriott Ballroom

Thursday, October 22 8:00 am–5:00 pm Registration9:00 am–10:10 am Opening Ceremonies10:10 am–10:30 am Break10:30 am–11:30 am The Power of One - One Person Can Change the World; That Person is You – John O’Leary

10:30 am–Noon Individual Creative Makeup Sessions Barbara Kammerer Quayle and Society of Plastic Surgical Skin Care Specialists

10:00 am–5:00 pm Phoenix UBelong See page 10 for details.

11:30 am–12:50 pm Lunch–On Own

12:00 pm–5:00 pm Massage Services – AMTA and ETC THE SPA

1:00 pm–2:15 pm Healing Through Our Stories—Open Mic2:15 pm–4:00 pm Individual Creative Makeup Sessions

Barbara Kammerer Quayle and Society of Plastic Surgical Skin Care Specialists

3:00 pm–5:00 pm A Workshop for Parents: What’s Next? Addressing the Needs of the Family After Burn Injury Brad Jackson, Carla Oliver, Janine Fisk, Dave & Carly Bowers

3:00 pm–5:00 pm Breakout Sessions A. Getting in Touch with Sexuality and Intimacy After a Burn Injury – Ruth Rimmer, Cindy Rutter B. Facing “Normal” When I’m Not: Living with Chronic Pain – Jim Ryser, MA, LMHC, LCAC, CADAC II, ICDAC C. Addiction and Recovery: Understanding the Role of Same in Perpetuating the

Addictive Process – Megan Bronson, James Bosch D. In the Line of Duty: Stories of Those Who Serve

Panel Moderated by Phil Tammaro, Lionel Crowther and Karen Badger E. Self Compassion: A powerful way to self-care, happiness and healing – Samantha Price and Panel F. Developments in Burn Care: The Role of Lasers and Advanced Reconstructive Options

Dr. Rajiv Sood, Dr. Brett Hartmann G. Hijacked by Your Brain: Understanding PTSD – Vicky Taylor

2:15 pm–3:00 pm Break

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5:15 pm–6:30 pm Special Session: Recovery From a Burn Injury: Life Satisfaction, Post Traumatic Growth, Near Death Experiences – David Royce, Professor, College of Social Work, UK

5:15 pm–6:30 pm Support Groups

5:00 pm–6:00 pm Friends of Bill W

Friday, October 23 8:00 am–5:00 pm Registration9:00 am–10:00 am The Strength of Hope – Kevin Cook & Jill Sproul10:00 am–10:30 am Break10:00 am–4:00 pm Individual Creative Makeup Sessions

Barbara Kammerer Quayle and Society of Plastic Surgical Skin Care Specialists8:45 am–3:00 pm Phoenix UBelong

(See page 10 for details.) 10:15 am–12:00 pm Advocacy Training 10:30 am–12:00 pm Healing Through our Stories—Open Mic10:30 am–12:00 pm Aftercare Reintegration Committee

Radha Holavanaholli and Jill Sproul

12:00 pm–5:00 pm Massage Services – AMTA and ETC THE SPA

12:00 pm–1:20 pm Lunch–On Own

12:00 pm–1:00 pm Support Group: Burn Injured Fire Fighters1:20 pm–3:00 pm Discussion Groups

A. Workforce Integration: Survivors as Assets in Employment B. Facing Fears-Finding Joy and Happiness in Family and Support C. Hidden Burns D. Recent Burn Injuries-Survivors and Families E. Young Adults F. Get Involved - The Burn Community that Works Together G. Firefighters H. Spouses and Family of Burn-Injured Firefighters

3:15 pm–5:00 pm Special Session: Recovery from a Burn Injury: Life Satisfaction, Post Traumatic Growth, Near Death Experiences – David Royse, Professor, College of Social Work, UK

3:30 pm–4:00 pm Friends of Bill W7:30 pm–9:30 pm Talent Show

Saturday, October 24 8:00 am–12:00 pm Registration9:00 am–10:00 am It Takes a Team – Jeff Saturday (Session is appropriate for youth and teens.)

10:00 am–10:30 am Break10:00 am–11:00 am Young Adult Closing

10:00 am–12:30 pm Phoenix UBelong (See page 10 for details.)

10:30 am–12:00 pm Healing Through Our Stories—Open Mic12:00 pm–1:15 pm Lunch–On Own

1:15 pm–2:30 pm Closing Ceremony – Amy Acton

2:30 pm - 4:00 pm Support Groups

2:30 pm–4:00 pm Friends of Bill W6:00 pm–Midnight Closing Reception and Banquet—Dinner and Entertainment*

*




Phoenix Society provides a supportive community empowering everyone affected by a burn injury to live the fullest life possible. Since 1977, we have championed the needs of burn survivors and their families as the only national organization providing the support and resources needed to thrive again.

While we offer many programs and resources, Phoenix World Burn Congress is our largest program. It brings together nearly 1,000 burn survivors, their families, medical professionals, and fire service for educational programming, training, support groups and resources each year. We look forward to having you join us in Indianapolis!

Riley Hospital for Children at IU Health is honored to be a lead sponsor of the 2015 Phoenix World Burn Congress. As Indiana’s only verified pediatric burn center, our expert team of clinicians and care providers treat the state’s most complex burns and serve as a resource for burn prevention, research and advocacy. We encourage and support the Phoenix World Burn Congress contributions to bringing burn survivors and family members from around the world together to share experiences, provide support to others and learn from their burn recovery. Riley at IU Health welcomes you to Indianapolis!

This life-changing program would not be possible without financialsupportfromoursponsors.

Thank You Sponsors!

Tyco is a market leader in global fire protection and security solutions industries. Our 65,000 employees take great pride in knowing that they make a difference in their world - their work helps protect and safeguard people and property for more than three million customers around the world. That’s why we’re once again honored to be a lead sponsor of the Phoenix World Burn Congress. The Phoenix WBC is one of our most valued partnerships. The impact we see for burn survivors and their families is both impressive and moving, and engages our employees in a cause that is strongly aligned with our passion to protect what matters most.

The Richard M. Fairbanks Burn Center at Eskenazi Health is proud to sponsor the 2015 Phoenix World Burn Congress in Indianapolis. Verified by the American Burn Association and the American College of Surgeons, the Richard. M. Fairbanks Burn Center is the only adult burn center serving Central and Southern Indiana. Our staff is committed to providing the highest quality of burn care and support to burn survivors and their families. We are honored to be a part of this inspiring event and to welcome the Phoenix Society and Phoenix WBC attendees to our city. To learn more about Eskenazi Health and the Richard M. Fairbanks Burn Center, please visit EskenaziHealth.edu.

LEAD SPONSORS

EskenaziHealth.edu



GOLD SPONSORS

SILVER SPONSORS

BURN SURVIVORS OF NEW ENGLAND

CUNNINGHAM LAW FIRM

EDITH BLODGETT LEGACY FUND OF THE BROOKBY FOUNDATION

INSURMARK

KAREN & REG RICHARD

USA SPRINKLER FITTER ASSOCIATION

BRONZE SPONSORS

CHICAGO FIRE FIGHTERS UNION BURN FOUNDATION

COMMUNITY TISSUE SERVICES

CRAWFORD HEALTHCARE

DIANE JOHNSON – IN MEMORY OF KENNETH JOHNSON

IN MEMORY OF IRIS MILLER

INNOVACYN

JOSEPH & CARRIE PRATT

MONARCH CHARITABLE FOUNDATION

NOVARTIS PHARMACEUTICALS

VERICEL

PLATINUM SPONSORS

B U R N F O U N D A T I O NHelping victims become survivors.

Each year hundreds contribute financially, donate items, their time and expertise to make Phoenix World Burn Congress possible. While limited space does not allow us to print

all the names here, we are deeply grateful for your support. Thank You.

DIAMOND SPONSOR

The Tony Gonzalez Family

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 Please circle your age so we can help to best meet your program needs in the future.

m Youth and Teen Programming: Check here if above attendee (age 7-17 only) is registering to attend the Phoenix UBelong. (See page 10 for details.)

ADA Accommodations: If you require ADA accommodations, please contact Pam Peterson at (800) 888-2876 or via e-mail at [email protected] by September 25, 2015.

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. Sponsoring Organization or Individual – Complete only if attendee is sponsored.Name/Business: ____________________________________________________________________________________________________________________

Address: ___________________________________________________________________________________________________________________________

City:_________________________________________________________ State:__________ZIP:_________________ Country: ________________________

Phone:______________________________________________________ Email: ________________________________________________________________

III. Registrations FeesFull Registration Options*Registration on or before September 25, 2015 $260.00Registration after September 25, 2015 $360.00

Closing Banquet only** $65.00

REGISTRATION FORM

* Full registration includes Wednesday’s Opening Reception and Saturday evening’s Closing Banquet.

** Guests of attendees who wish to attend Saturday’s Closing Banquet ONLY, must purchase a $65.00 ticket.

Optional Half-Day Pre-conference Workshops: $35.00 Pre-registration is required for workshops. Please choose only 1 workshop. m An Experiential Introduction to Energy Medicine m Knowing The Essence of You m Amputation in the Survivor: Advancement in Technology and their

Impact on Physical, Social and Psychological Recovery m Adults Burned as Children, Adolescents and Young Adults m Facing the Future...STEPS to Social Confidence and Control m Young Adults: You’re in the Driver’s Seat! It’s time to take the wheel

and choose how you want to live! (this is a full day workshop)

IV. Payment Method Please make checks payable in U.S. funds to The Phoenix Society.

Please circle: Check VISA MC Discover AmEX

Credit Card Number: ___________________________________________

Exp Date: ______ Signature: _____________________________________

Return this form with payment to: The Phoenix Society1835 RW Berends Dr SW, Grand Rapids, MI 49519

You may also register on our secure website at www.phoenix-society.org/wbc-reg or by faxing your completed form to 1-616-458-2831 or by calling 1-800-888-2876.

Registration fee includes a nonrefundable processing charge of $35. No refunds for cancellations after September 25, 2015.

Remember! • Registration does not include your hotel

accommodations. • Online hotel reservations are being accepted now at

www.phoenix-society.org/wbc-reg. • To Register by phone, call the Indianapolis Marriott

Downtown at 877-640-7666. Be sure to identify yourself as a WBC attendee.

• The room block is expected to fill quickly, so don’t delay. The cutoff date for reservations is September 25, 2015.


The Tony Gonzalez Family

phoenix-society.org



1835 RW Berends Dr. SWGrand Rapids, MI 49519-4955

616.458.2773 | 1.800.888.2876fax: [email protected]

1835 RW Berends Dr. SWGrand Rapids, MI 49519-4955

1.800.888.2876fax: [email protected]

THE PHOENIX SOCIETY, INC.

Non-Profit Org.US Postage

P A I DGrand Rapids, MIPermit No. 679

27TH ANNUAL PHOENIX WORLD BURN CONGRESS 2015 REGISTRATION BROCHURE

Lead Sponsors:

Indianapolis Marriott DowntownIndianapolis, IN October 21-24, 2015

Indianapolis Marriott Downtown | Indianapolis, IN … Phoenix World Burn Congress — 6 — 2015 WBC...

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