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Fill out the form below in order to create a new account on this system. Fields marked with * are required.
Passwords must be ten or more characters long.
As per the General Data Protection Regulation (GDPR), this system does not install cookies on your computer without your express permission (except for a session cookie that is defined under GDPR as 'strictly necessary'); however, data that you enter and data that others enter about you is stored within this system. You have a right to view that data at any time or to request that your account and associated data be deleted from this system.
I also understand that my use of this system is covered under the privacy policy that Kutztown University has added to the bottom of this page. Additionally, I understand that concerns, legal or otherwise, regarding my data are solely the responsibility of Kutztown University and not of the company that makes and supplies this software program (who will only access my data when necessary to support the use of the program by Kutztown University). Finally, I understand that I must check this box every time I create an account or update my profile and that, if I don't agree with this statement, I must take action (as defined above) to request my account be deleted.
You have the option of receiving appointment reminders and waiting list notices via text message.
In order to enable text messaging, enter your ten-digit mobile phone number below. Depending on your mobile carrier and plan, you may incur charges for receiving text messages. You agree to be responsible for those charges. In order to opt out of receiving future texts, simply remove your number below.
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