New Student Course Enrollment

Use the form below to register and pay for this online course.

Course you are registering for:*
Are you an existing LSCI online student?*
- No
- Yes
EXISTING STUDENTS: CLICK HERE to add The Angry Smile course to your existing student account.
EXISTING STUDENTS: CLICK HERE to add the Level 1 Certification course to your existing student account.
New Account Information
Username*

Spaces are allowed; punctuation is not allowed except for periods, hyphens, and underscores.
Email*

A valid e-mail address. All e-mails from the system will be sent to this address. The e-mail address is not made public and will only be used if you wish to receive a new password or wish to receive certain news or notifications by e-mail.
Password*
Enter Password Confirm Password

Strength indicator
Agency Information
Agency Name
Billing Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Agency Phone
Agency Email
Personal Information
Name
First Last
Shipping Address*
Street Address City State / Province / Region ZIP / Postal Code Country
Home Phone
Referral
How did you learn about LSCI training programs:
- I am an LSCI National Training Site employee.
- An LSCI trainer referred me.
Add Trainer's name
Comments
Course Payment
LSCI Level 1 Certification Course
Price:
The Angry Smile Online Course
Price:
Shipping
Total
$0.00
Credit Card
Card Details
Cardholder Name

New Account Information