Registration


Please completely fill out each section of the registration. Carefully read through each of the policies. Keep in my mind that by completing this registration, and entering your full name below you agree to its entirety. Be sure to include valid credit card information, as this is required.

*   denotes required fields

Referral Information
Family Information
Where do you live?
Click to Enter an International Number
Additional Info
Contact #1
How Can We Contact You?
Click to Enter an International Number
Click to Enter an International Number
Click to Enter an International Number
Portal Access (your email is your login)
(Emails are kept confidential)
Who is your employer?
Click to Enter an International Number
Contact #2
How can we contact you?
Click to Enter an International Number
Click to Enter an International Number
Click to Enter an International Number
(Emails are kept confidential)
Who is your employer?
Click to Enter an International Number
Student #1
(format=mm/dd/yyyy)
Additional Info

Please choose from the below categories of classes. Most classes are available for online registration, however, classes with pre-requisites or by invite only must be done at Midwest.

Enroll in Classes
Select Class *
Required Policies and Agreements
I Agree to All of the Above
Questions or Concerns
Payment Information
Please fill out CREDIT CARD Payment Method
Credit Card
eCheck/Bank Draft
(Your name on your bank statement)
(9-digit number)