Participant

* 1. Please enter your first name. (Provide your name exactly how you want it on your contact hours certificate.)

* 2. Please enter your last name. (Provide your name exactly how you want it on your contact hours certificate.)

* 3. Please enter your email address.

* 4. I have double checked that the email address I provided is correct.

* 6. Please select your position.

7. Do you have any dietary restrictions?

8. Do you need a sign language interpreter? If requesting a sign interpreter, you must notify CDE at least 72 hours before the training that you will not be able to attend.

T