Welcome to the United States Water Fitness Association

Water Fitness Instructor
Online Registration Form
Welcome to Step 1 of the online Registration Process!
(Steps 2 & 3 will follow after submitting the form below)

Please Note: Registration must be completely filled in and payment must be received or registration can not be processed.


Registration:   All registration forms and program fees must be in the hands of USWFA National Headquarters prior to mailout of materials.

Name:
*required
Address 1:
*required
Address 2:
*required
City:
*required
State:
*required
Zip Code:
*required
E-mail:
*required
Work Phone:
Cell Phone:
* required
Home Phone:
* required

Desired Certification Level (Select Either Primary OR Masters) *required

Primary Course - National Certification for Water Fitness Instructors (basic level).

Yes, I am at least 16 years of age

Masters Course - National Certification for Master Water Fitness Instructors (advanced level).

Yes, I am at least 21 years of age.

Have a minimum of five years of experience teaching water exercise.

OR

USWFA Primary Water Fitness Instructors who want to upgrade to a Master Certification, must have a minimum of 5 years experience teaching water exercise. E-mail or fax a list of hours, place and years of employment.

Program Fee (Please Check ONE): *required

Primary Course:  Masters Course:
Program Fee $277 Program Fee $297

  • The inside pockets of your manual will contain an Open Book Test, Pool Experience Packet, and, if applicable, Anatomy Manual, Anatomy Open Book Test and Form to Evalaute Lesson Plans from the Manual. All of these must be completed PRIOR to being sent to the USWFA for grading.
  • A current CPR certification is required for completion of this course. If you do not have one, you may take the course however we cannot complete your certification until we have a copy of your CPR card on file.
  • Once materials are sent out there are NO REFUNDS!
  • By clicking the Submit My Registration box, I certify that I understand the refund policy and am now registering for the course.

    How I Plan to Pay for the Course (select one): *required

    Credit card online (USWFA uses PayPal to process credit cards, but a PayPal account is not required.)
    PayPal direct cash transfer (PayPal account holders only)

    Faxing my credit card information
    Mailing my credit card information


    to Proceed to Online Payment

     

    Questions?

    Mail, Fax, E-Mail or Call:  United States Water Fitness Association, PO Box 243279, Boynton Beach, FL 33424-3279, Phone: 561-732-9908, Fax: 561-732-0950, E-Mail: Info@USWFA.org

    Credit Card Orders Accepted By Telephone During Regular Business Hours, Online and/or By Fax Or E-Mail Seven Days a Week 24 Hours A Day

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    Many of our Forms and Publications available on this website are in PDF format. If you have problems viewing these files please visit the Adobe website to download the free Acrobat Reader: