New User Account

First Name *

Middle Name

Last Name *

Texas Unique ID (Optional)

PIN (4-digit number) *

Date of Birth *

Email *

Password *

Phone *

Do you want to receive text messages? *

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Notice and Acknowledgment

I acknowledge and understand Region 2 ESC is a governmental entity and that any information which I provide in this profile page is subject to the provisions of the Texas Public Information Act (Chapter 552 of the Texas Government Code).

I acknowledge and understand that I am required to provide an email address as part of my profile. I understand and agree that if I include in my profile a personal email address I am expressly waiving any confidentiality in my personal email address and consenting to Region 2 ESC disclosing it in response to any request made to Region 2 ESC for its disclosure under the Texas Public Information Act.

I acknowledge and understand that a personal email address is an email address other than an email address issued to me by a governmental body for my use as an employee of the governmental body.