Form 1: Registrant / Contact Information

Please click Save at the bottom of the form to save your changes

Registration System

Note:

To communicate with Class Counsel, once you have registered with the system, click here
Information marked with an asterisk(*) is required.
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New Registrant Contact Information

Choose a login name and password

Please enter the answer to the equation pictured to the right to verify this is not an automated process.*

Username*

TIP: Avoid using any personally identifiable information when creating your username. This includes your first or last name or your birthdate.

Password*

Confirm Password*

1. Registrant's name

First Name*

Middle Name

Last Name*

2. Registrant's current mailing address

Line 1*

Line 2

Line 3

City*

State or Province*

Postal Code or Zip Code*

Country*

3. Registrant's e-mail address

E-Mail Address*

4. Additional contact information (at least one of the following must be provided) *

Country Area Code Number Ext.

Primary Phone Number

Alternate Phone Number

Fax Number

5. Security question

Choose one of the questions for security purposes*

The answer to the security question*

* required fields

System Login

Form 1: Registrant / Contact Information

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