Free Member Registration
Thank you for verifying your status as a dental student — Please continue filling out the rest of the registration info in the next tab.
*First and Last Name
As displayed on verification document.
*Verification Image/Document Upload
So we can make sure you’re a dental student, please upload a picture/copy of one (1) of the following: your dental school ID -OR- class schedule with your name -OR- your acceptance letter into dental school. Accepted file types include: gif, jpg, jpeg, png, psd, tif, tiff, pdf
gif jpg jpeg png psd tif tiff pdf
*File Upload Confirmation
I verify I have uploaded a file confirming proof of enrollment.
First Name Required
Last Name Required
Dental University :*
Dental University is Required
Expected Graduation :*
Expected Graduation is Required
Password Confirmation Doesn’t Match
Please fix the errors above