Current procedure:

• Go to https://en.wikipedia.org/w/index.php?title=Special:CreateAccount
• Screen reader cries
• Follow "Request an account" link to https://en.wikipedia.org/wiki/Wikipedia:Request_an_account
• Wall of mostly useless text
• Follow "Request an account" link to https://en.wikipedia.org/wiki/Wikipedia:Request_an_account/ACC_Wizard
• "Have you tried to create an account on Wikipedia using the account creation page?" yes damn you, click "Yes, I tried to create an account, but I had problems"
• "What issue or problem are you experiencing when attempting to create an account using Wikipedia's account creation form?" give me strength "I cannot read the CAPTCHA due to accessibility issues" which links to https://en.wikipedia.org/wiki/Wikipedia:Request_an_account/ACC_Wizard/ReferToACC
• Get another useless wall of text. First button below wall of text: a progressively styled button saying "Let me create an account for myself!" which directs RIGHT BACK to https://en.wikipedia.org/wiki/Special:CreateAccount. This is just moronic and insulting at this point.
• Second link is destructively styled titled "Submit a new account request to ACC" going to https://accounts.wmflabs.org/
• "Please note!" box is #856404 text on a #fff3cd background. On a page that will be frequented by people with impaired vision. SERIOUSLY?
• Below the username field, the text "Usernames may not consist entirely of numbers, contain the following characters: # / | [ ] { } < > @ % : or exceed 85 characters in length." instead of this explaining, is it possible to alert the user in an accessible way that the entered username is invalid if they enter an invalid name? I know alerting is possible (and easy), but I'm unsure about accessibility.
• In all the walls of text there were two useful bits of info: the username should not be (potentially) offensive and should not represent more than one person. This info should be added to https://accounts.wmflabs.org/ as it's largely global policy anyway. (exceptions exist, but too rare to bother with)
• The form elements appear to have no title attribute. Does this harm accessibility?
• Fill out form
• Send request

How it should be (besides fixing the above issues):

• Go to https://en.wikipedia.org/w/index.php?title=Special:CreateAccount
• Screen reader cries
• Follow "Request an account" link to https://accounts.wmflabs.org/
• Fill out form
• Send request

Note: accounts created this way should always be pre-autoconfirmed. (dunno if they are now)