Please enter the information for the Primary Contact (for example parent or guardian) first. You may then add more family members by clicking on "Add Member" at the bottom of the page. When contact information is complete click "Continue" and this will bring you back to the Primary Account screen.

Once you have completed your Household Account click SUBMIT at the bottom of the page.
First Name: *  (Primary Contact)
Last Name: *  (Primary Contact)
Middle Name:
Prefix:
Language:
Birthdate: *
Gender:
Address:
City:
Country:
State:
Zip:
Residency:
Phone:  (ex: XXXXXXXXXX)
Health Notes:
Emergency Contact:
Emergency Phone:  (ex: XXXXXXXXXX)

     
Email: *
Password: *  
Verify Password: *  
Password Requirements: Between 8-16 characters, 1 alphabetic, 1 numeric, 1 special character (!@#^*-=), no spaces
Family Members: