UHCL E-Commerce: Account Creation Form

Passwords are case-sensitive. It is recommended that you provide a secure password.
The security question and answer will be used during password resets and for account recovery purposes.
Answers are not case-sensitive.

Please provide the following information. This information will be used as your default billing information, and may be used for communication purposes regarding any registrations or purchases. After your account registration is complete, you will be be able to update this information as necessary.

If you plan to register family members, co-workers, or anyone other than yourself for a scheduled event, please select Yes.

Please provide the names of the individuals that you intend to register for events.

Action First Name Last Name Email Address Date of Birth
Click the "Add Registrant" button to add an additional registrant (family member, co-worker, etc.)

An email verification step is required before you can login to your newly created account.

A verification email will be delivered to your email address containing a link that you must use to confirm and activate your account.

Failing to complete this step will prevent you from logging in.