Your Name or Nickname:
This is your name as you wish it displayed to other users in the FreeCBC
Pseudonyms are acceptable.
Each FreeCBC conferencing account must have a unique login id of no more
than 12 characters.
Select the secret password that you will
give when you log into your FreeCBC conference account.
It will not be displayed as you type it.
Enter it exactly the same way twice to ensure you didn't make a typo the first
time. We recommend passwords of at least 8 characters including a mix of letters and numbers for security.
Date of Birth:
Who may see the information in this section of the form?