Please complete all fields and upload the requested documents (in PDF or JPG format) to create a new ML Schedules™ Software user account and related Group(s).
Classification
- Please Select - Faculty and Staff Group I Group II Group III Group IV *
First Name
*
Last Name
Phone Number
E-mail Address
* *
Confirm E-mail Address
Password
Confirm Password
If you are an internal staff member who will be submitting requests on your own behalf (i.e. not for a group, team, club, etc), use your first and last name as the Group Name.
Group Name
Street / Mailing Address
City
State
- Please Select - Alabama Alaska Arizona Arkansas California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming *
Zip Code
Reason for Registration
*Please note that Bethlehem CSD requires your Group to have a valid insurance certificate on file. Please upload a valid insurance certificate before continuing.
Expiration Date
* Insurance file has expired