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... *

Signing In

Signing Out

First Name *

Last Name *

Participant's Email Address (Please ensure it matches the email used during registration.) * 🛈

Confirm Email Address * 🛈

Sign-in Code Provided by Instructor *

Sign-out Code Provided by Instructor *

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.) *

I acknowledge the above statement

Date Submitted (US Eastern Time Zone) *