Sign Up

Fields marked with * are required.

Member Information

Please enter information about the person who will be using Bookshare.

I confirm that this account is for a person with a Print Disability, and will be able to provide Proof of Disability from a competent authority.

First Name *

Last Name *

Country *

Address line 1 *

Address line 2

City *

State/Province *

Zip or Postal Code *

Phone

Email *

Confirm Email *

Password (6-32 alpha-numeric chars) *

Confirm Password *

Birth Date (mm/dd/yyyy) *

Activation ID (optional)

Parent/Guardian Information

Guardian's First Name *

Guardian's Last Name *

Guardian's Email

Guardian's Phone

Address is different from member's address

Yes
No

Country *

Address line 1 *

Address line 2

City *

State/Province *

Zip or Postal Code *

U.S. Student Status

Are you a U.S. student?
Yes
No

Name of School *

Country *

Address line 1 *

Address line 2

City *

State/Province *

Zip or Postal Code *

Grade Level *

Plans

If you have neither of the following plans, please leave the checkboxes blank.

I have a current IEP issued by a public education agency
I have a current 504 Plan

Additional Information

How did you hear about Bookshare? (optional)

Promo Code (optional)

Are you a veteran of the U.S. Armed Forces? Yes
No

Membership Terms

I have read the Bookshare Membership Agreement and agree to its terms and conditions.

Sign Up

Member Information

Parent/Guardian Information

U.S. Student Status

Plans

Additional Information

Membership Terms

Help