Website Registration Page


Please fill out this form to register for an individual website account. All fields are mandatory. After you have submitted the form, you will be sent a confirmation email. Click on the link in that email to activate your account.

If you are a student, please register using the free nursing student registration form.


First Name:


Last Name:


Nursing Association / College:


Registration Number:


Date of Birth

Phone:


Address:


City:


Province:


Postal code:


Email address (This will be your user name):


Create Password:


Re-enter Password:


Verification (enter the word from picture below):
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