Participant Information

Please share your dietary preferences and how you would like to apply for CLE. Please tell us how you would like your information displayed in the participant roster and name badge.

CLE

I would like to apply for CLE

I don't need CLE

Name(Required)

First Last

Your State Bar number(Required)

I would like to apply for CLE in the following State:(Required)

State

Confirm(Required)

I confirm with my signature that the above information is correct. (Please type your name)

Signature(Required)

Dietary Restrictions

Skip this section if you are filling out this form during of after the event.

I have the following dietary restrictions:

None

Pescatarian (fish, but no meat)

Vegetarian (no meat, no fish)

Vegan

Gluten Intolerance

Lactose Intolerance

How my information will be displayed in the participant roster and name badge:

Skip this section if you are filling out this form during of after the event.

Name

First Last

Address

City State / Province / Region Country

Company

Title

Phone