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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 Deadline  All registration forms and program fees must be in the hands of USWFA National Headquarters three weeks prior to the course. (See Course Schedule)

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 Teachers (advanced level).  Also includes certification for Coordinators of Water Fitness Programs.

Yes, I am at least 21 years of age.

Have a minimum of one year of experience teaching water exercise and at least 100 hours of actual experience teaching water exercise.

OR

USWFA Primary Water Fitness Instructors who want to upgrade to a Master Certification, have a minimum of three years experience teaching water exercise and at least 150 hours of actual experience teaching water exercise. E-mail or fax a list of hours, place and years of employment.

Member Information If Paying The Special Member's Prices *required for USWFA members

To be eligible for the USWFA Member Discount of 20% you must mark one of the following:

The facility I work for is a USWFA Facility Member: 
Name of the facility
Membership expiration Date: (MM/DD/YYYY)

My facility is hosting the course I will attend.

Program Fee (Please Check ONE): *required

Primary Course:  Masters Course:
Non-member's Price $247 Non-member's Price $277
Member's Price $211 Member's Price $235

Desired National Testing Day (NTD) (Mark One): *required

Please register me for the following NTD:   (See Course Schedule in a pop-up window)

Date: (MM/DD/YYYY)
For course being held in City: State:

I want to get the materials now so I can prepare to take a NTD.  I will select a NTD date and location later.
Check our website for scheduled courses.
 

Important Notes:

  • The National Testing Day is six hours, this time is not only for testing but also allows participants the opportunity to network and share practical information.
  • The NTD does not include a review of the manual. It is the students responsibility to read, study and understand the contents of the manual.
  • The left pocket of your manual will contain an Open Book Test, Facility Visit Form, and a Plan For Water Test. All of these must be completed PRIOR to testing day and turned in before you can participate in NTD.
  • 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. Online CPR courses are not accepted.
  • The two most important parts of the NTD are the written test and the water test. The written test is two parts, which you will have one hour and fifteen minutes to complete. For the water test each student will teach a mini class; Primary course students teaching an 8 minute class and Master course students teaching a 15 minute class.
  • The Instructor Trainer will give you your written and water test scores at the end of the day. (Students taking the Primary course must score 80% or higher and Masters must score 90% or higher.)
  • If you register for a National Testing Day and do not attend, there will be a $50 switching fee to change to another NTD. This fee will not be charged if the course is postponed.
  • All participants who attend the National Testing Day must have purchased a manual. Sharing is prohibited!
  • You have one year from your original registration date to take the course on another date without paying again. There are NO REFUNDS!
  • By clicking submitting this registration form, 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

 

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: