Fill out the form below in order to create a new account on this system. Once you've successfully registered, you'll be able to log in to the system immediately. Required questions are marked with (REQUIRED).
Email Address (REQUIRED)
First Name (REQUIRED)
Last Name (REQUIRED)
What is your telephone number?
What is your major? (REQUIRED)
What is your academic standing? (REQUIRED)-- please select --FreshmanSophomoreJuniorSeniorGraduate StudentFaculty/Staff
What year will you graduate?-- please select --201920202021202220232024
What is your first or home language? (REQUIRED)-- please select --EnglishArabicChineseFrenchGermanJapaneseKoreanPortugueseRussianSpanishOther
What is your CU ID number? (REQUIRED)
Are you affiliated with an athletic team? (check all that apply) (REQUIRED)
What is your gender? (check all that apply) (REQUIRED)
Passwords must be ten or more characters long.
Re-Enter Password (REQUIRED)
Send me an email when my appointments are made, modified or canceled:
Send me an email with center announcements or other mass mailings:
Send me an email to remind me of my upcoming appointments:
Include iCal links with appointment confirmation messages? NoYes
Fake Registration Prevention
In order to help prevent fake or automated registrations on this system, please complete the captcha form below.
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