Client Registration

To help us keep track of clients and verify some demographic information we ask that you complete this application. We ask about income as our free service is open to those with low incomes. We ask those with higher incomes to consider making a donation when possible. 

 *** Attention: if you do not see the application scroll down til you see the message asking you to accept cookies. 

*** Also,  you may need to set your browser to accept cookies for the application to load properly. If your browser is set to accept 3rd party cookies, and you are still having problems with the application loading, please click here to access a PDF version of the application and share it with us via the Contact page where to you can attach the application to your message.  

Don't hesitate to get in touch with us if you run into problems accessing and completing the application.