Continuing Education Certificate Request

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* Attendee Information

In order to receive your credits, please fill out the information below and check off each class that you attended.

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* Keynote - 9:15am to 9:45am

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* Breakout Session #1 - 10:00am to 11:00am

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* Breakout Session #2 - 11:15am to 12:15pm

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* Breakout Session #3 - 1:15pm to 2:15pm

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* Breakout Session #4 - 2:30pm to 3:30pm

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* Eligibility Certification

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