Registration

If you see this don't fill out this input box.

Full Name (as you would like it printed on certification card)*

Date of Birth*

WID (please type "n/a" if not a K-State Student)*

Mailing address (Street, Unit #, City, State, Zip)*

If a KSU department or other organization will be paying, please provide a billing contact name, department, address, phone, and email address

Email address*

Phone number*

Session Date*

Please choose a session (depending on which online part you took)

How did you hear about us?

Hours

Monday-Friday: 8 a.m. - 5 p.m.
Closed weekends and university holidays