Tele-Conference Program Registration

All Fields

All Fields Must Be Completed

• Choose a user name that you want to use. If someone is already using it you will need to choose another.

• If you only have one phone number type “NA” in the other phone field.
  

• The “Middle Name” is the only field that can be left blank.

• The “City” field will be the suburb or town that you reside in.

• Once you have completed the form click on the “Register Button”.

• If you have followed the instructions and competed all the required fields you will be redirected to a new page confirming your registration.

• After registration you will receive an email with your password. If you don’t see it in your inbox please check your spam or junk mail folders.

  • If you have registered previously for a program your email will already be registered on our members system. Please send an email to info@diabetichealthclinic.org with a request to tranfer your membeship to the program you are wanting to attend.
    
    NOTE: Each person registering MUST have their own email address. If you need to obtain another email to register your partner or friend please click the button below.
    

   

Your IP Address is 3.128.78.41