E-Form: Officials Clinic Attendance Report

This form is used to report overall attendance at a certification clinic. It's to be used by the instructor that conducted the clinic and NOT by individual attendees!
This is Page 1 of a 3-page form. Be sure to complete ALL 3 pages or your report will not be sent.
Note: If you, as the instructor, are to receive credit for attending this clinic, you must also include yourself as an attendee or you will not be included.

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Clinic Information	= Required Field

Clinic Code
Attendees At This Clinic

Total Number of Attendees	Max 30 attendees (including yourself)
Will you also be reporting any attendee's test scores?	Yes No