IPICD Excited Delirium Instructor                             Hampton, VA - April 19-20, 2022
- An invoice will be sent from the staff at the IPICD after they review your registration.

- There are 3 sections to this form.

- Please put the attendee's email below. We use this to email the certificate after class has completed and any class updates if needed. They will also receive a copy of their registration.
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