New Practitioner Application Form

To apply for a Lumina Learning Practitioner account please complete the form below.

To speak to us about our products and solutions or about becoming a Practitioner, you can get in touch here .

Fields marked with a * are required for registration.

Your Home Region

Personal Information

Business Information

Business Address

Billing Address

Locale Information

Account Password

Please enter a password below, This password will only be used if you do not already have a Lumina Account that you use to sign in.

Business Agreement

Personal Information and Privacy

By enrolling to become a Practitioner you share some of your personal information with:


The personal information you share as a Practitioner is processed in accordance with the Practitioner Privacy Notice.

You will be contacted by your Lumina Learning Partner when your application has been processed.