Staff Registration

Before you begin, make sure you are logged OUT of this site. You will know you are logged out when you see "Login" in the top right corner. If you see a name, click the carrot next to the name and select "Log Out" in the menu. Then, complete the form.

Your Name*
First Last
Your Email*
Name of the SHAPE Practitioner*
Username*
Select a username to use when you log in to the course.
Password*
Enter Password Confirm Password
I have permission by the SHAPE practitioner named above to enroll in the SHAPE Staff Certification Course and become SHAPE-Certified.*
- Yes