Energy Kinesiology Association
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Click Here to print out a CEU Update Form.

Member CEU Update Form

Use this form to record classes you have attended in kinesiology and related disciplines, as well as kinesiology conferences you have attended. For classes, log the actual number of course hours, minus meals. For conference log 50% of the actual number of meeting hours, minus meals.
 
Name:
 
Please enter only your current CEU information to renew this years membership.
 
Please list courses individually:
1st Course Name:
1st Course Instructor:
1st Course Date(s):
1st Course Hours:

2nd Course Name:
2nd Course Instructor:
2nd Course Date(s):
2nd Course Hours:

3rd Course Name:
3rd Course Instructor:
3rd Course Date(s):
3rd Course Hours:

4th Course Name:
4th Course Instructor:
4th Course Date(s):
4th Course Hours:

Total Hours Listed Above:
 
 
    
Entering my initials in the adjacent box signifies that the information I provided above is correct to the best of my knowledge and accurately represents my current CEU's. If requested, I can provide documentation.
 
Press when you are finished, or, press  .
* This Field Is Required

 

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