Event Sign-in and Sign-out Form

All participants that are seeking a certificate of completion or attendance must sign-in and sign-out of each day of each course or conference.  Thank you. 
I am... *
I understand that in order to received professional continuing education credits or a certificate of attendance that indicates the hours attended, I must pay the continuing education fee that is required for my event and I must provide any required information for my profession. (If you are unsure if you did, please double check your registration or email ceu@icdl.com to inquire.) *