Register – MBLL

If you are new to this course, you will need to register before you can begin. Complete the form below to register in the course.

User Registration

Name *

First

Last Name *

Last

Date of Birth

Day

Month

Year

Your name and birth date are required to register completion of the Pause & Plan course, which is one of the steps required to end your voluntary self exclusion. Remaining steps are outlined at the end of the course.

This personal information is collected in accordance with the Freedom of Information and Protection of Privacy Act (Manitoba). Any questions about the collection or use of personal information may be directed to Manitoba Liquor & Lotteries Privacy and compliance officer at 204-957-2500 ext. 2552.

Email Address *

Enter Email

Confirm Email Address *

Confirm Email

Password *

Enter Password

Confirm Password *

Confirm Password