Account Registration

Privacy Statement

Personal Information

Please enter your personal information below.

** Legal Name ** (must match Gov't issued ID)
First Name: *  
Middle Name:  
Last Name: *  
Date of Birth: *  
Registered Gaming Worker Number:   
Email: *  
Confirm Email: *
 

Your password must be a minimum of 6 characters.

Password: *
Confirm Password: *

Company Information

Type the name or licence number of the company you work or volunteer for. Click on the company name to select it when it appears in the drop-down list.

If you're not yet employed or the name of your company does not appear in the list, type "Unknown". Click on "Unknown" to select it when it appears in the drop-down list.

Allow a few moments after typing for the list to refresh.

Remember to update your profile when you become employed or if your place of employment changes.

Company:
*

Mailing Address

** IMPORTANT ** Please enter your correct personal mailing address below. This is needed to send you your certification card.

Please verify your mailing address and when you are finished, click the 'Submit' button.

Apt/Unit #:
Address Line 1: *  
Address Line 2:
Address Line 3:
City: *  
Country:
Province:
Postal Code: *
Contact Phone Number: *
Alt Phone Number 1:
Alt Phone Number 2:
Fax Number: