New User Registration

IMPORTANT

Make sure you do not have an account already. If you create two accounts there is no way to merge them and you could lose your course history for one or both accounts. If you already had an account, you can reset your password -> Reset Password Here

If you've got questions about a possible duplicate account or an old e-mail address, please email Cynthia Whisler or call 734-722-4595

First Name: *

Last Name: *

Address: *

Address 2:

City: *

State: *

Zip Code: *

Phone - 1: *

Please use format xxx-xxx-xxxx.

Phone - 2:

Please use format xxx-xxx-xxxx.

What is your Birth Date? *

Your Provider: *

Make sure this is correct. The provider is responsible for approving your account.

Email: *

Password: *

Minimum 8 characters, at least one uppercase letter, one lowercase letter, one numeric value and one special character

Confirm Password: *

New User Registration

IMPORTANT

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