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User Information - Enter information exactly as it appears on your Massachusetts Drivers License
First Name
*
Middle Initial
Last Name
*
Date of Birth
*
Last 4 Digits of your MA Drivers License
*
Email Address
*
Confirm email address
*
Password must be 8 characters or longer and contain an upper and lowercase character, a number, and a special character.
Password
*
Confirm Password
*
Your mobile phone number will be used to send SMS text messages to verify your identity throughout your training. Please make sure to provide a mobile phone number that you have access to during training.
Mobile Phone Number
*
I agree to the
Terms and Conditions
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