To register for this course, you must be able to provide identification information. 
Your identification must be in your possession and contain your photograph.

Type of Identification Document (check one):
Driver’s License   Passport   US Military Identification 
ID number                           
Expiration date  (mm/dd/yy)                            
State or Country of Issuance                           
 

DECLARATION OF COURSE ATTENDEE

I  hereby declare:

I am the course attendee as noted on the above registration information and that I, alone, will proceed through this online course for the duration of the course.

The identification information I provided on the registration form for this course is true and accurate.

I hereby swear, under penalty of perjury, that the above statements are true and correct.

I understand that the crime of perjury is punishable by imprisonment in the state prison for two, three or four years.  Penal Code §126

By clicking on the “I Agree Register Me” button below, I agree to be bound by the above statements.