EMT Skills Course Attendance Log

EMS Skills Class Attending*
Select class # even if making up a session
Date Attending*

MonthDayYear
Student (If not in list enter: Last Name, First Name)*
I am signing*

INOUT
Status*

OTPDetailVolunteer/Other
Time In*

Hour Minutes
Time Out*

Hour Minutes
I attest that the signature below is mine, that I am signing this form in person, and that the date and time entered above are true and accurate.*
Should be Empty: