CWYD Registration

Organization Registration Form

This registration form is for Program/Organization Administrators and their Editors.

Registration will allow an Administrator to create Program pages for their organization. Administrators will be contacted for verification. It will be up to the Administrator to verify their Editors. You cannot register as an Editor without your program's entry code, which will be given to you by your Administrator.

NOTE: Once your organization has been registered, this form should be used for Program Editor registration only. The originating administrator will be registered as an Organization administrator, or "Super Admin" with a higher permission level than Program Administrators. A Super Admin may create other Super Admins within the Organization Control Panel. Check the Help screen for additional information on permission structures.

Registrant Type:
Editor Administrator

Please enter your program code

Organization Information

Organization

Organization Name

Please provide us with contact information for a chief officer of your organization

Contact Name

Title

E-mail

Phone Number

Organization Street Address

City

Zip Code

Mailing Address (if different)

City

Zip Code

Business Number

UBI EIN N/A

Program Information

Register your first program. Once registration is completed, any information may be changed in your Program editing page.

Program Name

Program Level

Address

City

State

County

State has none

Zip Code

Program Administrator:

This will be the Program Adminstrator for the Organization. The Organization Program Administrator will oversee any Programs created by the Organization. The Organization Program Administrator may also assign Program Administrators and Editors for individual Programs.

Username

Title

E-Mail

Phone 1

Phone 2

Password

Repeat Password

First Name

Last Name

Spamming Robot Test:
Enter "5634ac"

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