New Student Course Enrollment Use the form below to register and pay for this online course. Course you are registering for:*Select CourseLSCI Level 1 CertificationThe Angry SmileAre you an existing LSCI online student?*NoYesEXISTING 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 InformationUsername*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 InformationAgency NameBilling Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Agency PhoneAgency Email Personal InformationName First Last Shipping Address Street Address City State / Province / Region ZIP / Postal Code Home PhoneReferralHow did you learn about LSCI training programs:I am an LSCI National Training Site employee.An LSCI trainer referred me.Add Trainer's nameCommentsCourse PaymentLSCI Level 1 Certification Course Price: $200.00 The Angry Smile Online Course Price: $150.00 Shipping $10.00 Credit Card* American ExpressDiscoverMasterCardVisa Card Number Month010203040506070809101112 Year20202021202220232024202520262027202820292030203120322033203420352036203720382039 Expiration Date Security Code Cardholder Name This iframe contains the logic required to handle Ajax powered Gravity Forms.