Site Registration Form

Already a registered student? Let's back up a step and Login. Once logged in, you will no longer see this form and will be directed to the payment screen once you choose the "take this course" button.

Before enrolling in courses, you must first fill out this registration form. This is a ONE TIME requirement. Once this form is submitted, you will receive login credentials via EMAIL. Once logged in, you may freely purchase courses without filling out additional forms. *Most of the information collected on this form is for legal display on your course completion certificates.
Thank you for your interest!

  • For MN chiropractors, add your HUMAN Chiropractic License number
  • Needs to be displayed on your course certificate.
  • Optional
  • This field is for validation purposes and should be left unchanged.