Online Registration

Add New Profile

Please note: if you've taken courses with us before, you may already have an account. You can log in to your existing account--if you don't know or have forgotten your password, you can reset it.

Account Information

*Required - email and password are used when logging into your account.

*Email Address:

Do not use your work or school email address; use your home email address.
Add ACCInfo to your email safe sender list so that our response emails do not spam.
Please do NOT use an icloud email as it is not compatible with our systems. We ask that you make a gmail and/or yahoo account in order to register into our system.

*Password:
(8-20 characters with no spaces)

*Verify Password: (enter password again to ensure accuracy)

Personal Information *Required

Source:

*First Name:

*Last Name:

Firm:

*Address:

*City:

*State:

*Zip/Postal Code:

Country:

*Day Phone:

Cell Phone:
I want to receive Text Alerts

Special Needs:

Photo/Video Consent and Release

I hereby grant to the Lorain County JVS, the right to use and publish photographs/videos of me, my image, likeness, and/or quotes for purposes of education or promotion (for any social media networks, publicity, advertising, and marketing) of the Lorain County JVS and its related activities.

Additionally, I waive the right to inspect and/or approve the finished product and the use(s) to which it will be applied.

Furthermore, I release the Lorain County JVS from any future liability or compensation claims associated with the use of said photographs/videos.

Approve or Disapprove:

Notifications

Check the appropriate box if you don't want to receive promotional material:

Don't Email Me Promotional Material

Don't Mail Me Promotional Material