Other Exam Voucher Registration After completing this form, an email will be sent to your email address that will serve as your voucher for taking the test. Please be sure to print out the test voucher email and bring it with you to the testing location, along with a government issued ID.Certification*Select Certification TypeGroup ExerciseOlder Adult FitnessYouth FitnessExam LocationIndicate the scheduled location where you plan to take the exam? Enter the State, City and Date below. (See link below for scheduled location options.) Refer to the W.I.T.S. other exam location and date schedule and then select the appropriate location and date in the drop down menu below. Exam Location & Date*Select a Location & DateAL Birmingham 6/8AL Huntsville 5/18CA Menifee 5/18CA Orange 7/23 & 7/25CA Torrance 7/27CA Woodland Hills 6/22CO Sterling 6/17CT Bridgeport 5/18CT Manchester 5/28 & 5/30CT Waterbury 5/11FL DeLand 7/9 & 7/11FL Fort Myers 8/3FL Fort Pierce 6/22FL Jacksonville 7/27FL Leesburg 7/13FL Sarasota 5/18FL St. Petersburg 5/24GA Savannah 7/13ID Post Falls 6/11 & 6/13IL Edwardsville 7/20IL Glen Ellyn 7/23 & 7/25IL Joliet 5/18IL Sugar Grove 5/9 & 5/11IL Sugar Grove 5/11IN Fort Wayne 11/23IN South Bend 5/18KS Andover 8/10LA Bossier City 8/8 & 8/10MA Bedford 7/13MA Danvers 7/24MA Framingham 5/18MA Springfield 6/8MA Worcester 6/8MD Hagerstown 7/13MD Salisbury 6/6 & 6/8MI Ann Arbour 7/20MI Clinton Township 7/16 & 7/18MI Monroe 5/18MI Rochester 7/13 & 7/14NC Charlotte 7/13NC Greensboro 7/13NC Matthews 4/23 & 4/25NJ Cranford 8/20 & 8/22NJ Edison 7/16 & 7/18NJ Lincroft 7/20NJ Toms River 7/28NJ West Windsor 6/23NM Las Cruces 7/13NV Carson City 5/4 & 5/7NY Garden City 7/30 & 8/1NY New York 8/10NY New York - FiDi 8/17NY Staten Island 5/5NY Valhalla 8/10PA Butler 5/14 & 5/16PA Media 7/16 & 7/18PA Philadelphia 4/27SC Aiken 4/29 & 5/1SC Charleston 6/29SC Columbia 6/15SC Conway 5/18TN Chattanooga 7/13TN Gallatin 6/8TX Arlington 6/15TX Austin 7/25 & 7/27TX Canyon 4/29 & 4/30TX Canyon 7/15 & 7/16TX El Paso 5/18TX McAllen 5/18TX San Antonio 8/10VA Chesapeake 7/13VA Hampton 4/30VA Richmond 7/14VA Weyers Cave 6/29WA Bothell 8/10WA Everett 6/8WI Green Bay 5/18Exam TypeCHECK THE BEST BOX THAT APPLIES. Incomplete Exam (past student in a preparatory college class) Gold Exam (exclusive online preparatory student ready to test) Current Student (recently completed an optional college preparatory course & is ready to test) Code of Ethics*I have read and agree to adhere to the W.I.T.S. code of ethics. Yes, I agree. Test Confidentiality*I agree to keep any and all test information confidential about the certification exam. I will not disclose any information about the exam or cheat in any way during the exam. Yes, I agree. Test RequirementsAge Requirment* I am at least 18 years of age CPR/AED Certification*After submitting this form you are required to email proof of your CPR/AED certification. (Live required. Online version not accepted.) You will receive a confirmation email after submitting this form. Reply to the confirmation email and attach your proof of CPR/AED certification. Accepted file formats: pdf, zip, jpg, gif, png, docx, doc, xlsx, xls The certification council requires that the W.I.T.S. office must receive the proof of the CPR/AED within 7 DAYS PRIOR TO THE TEST date to be able to SIT FOR THE EXAM. Your registration is not complete until you have emailed us proof of your CPR/AED certification. I will send proof of CPR/AED Certification (Live required. Online version not accepted.) High School Diploma/GED* I have earned my High School Diploma or GED equivalent High School Diploma / GED Details*For Diploma: Enter the name, city and state of high school, and date of graduation. (ex. Central High School, Virginia Beach, VA, 2014) For GED: Enter GED, state and date you earned your GED. (ex. GED VA 2014) English Comprehension* I have English comprehension for the written and practical exams ADA accommodations needed?*YesNoALERT: Send all ADA official document forms to Devon Lewis at email@example.com at least 30 days in advance of the exam or your testing may be delayed, as adequate time is required to verify and arrange your special accommodations with the hosting college. Delays in receiving the ADA forms for verification can delay your test being delivered on time.Student InformationName* First Last Email* Phone*Country*United StatesOther (Canada, Jamaica, etc.)Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code International Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAntigua and BarbudaArgentinaArmeniaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBrazilBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFaroe IslandsFijiFinlandFranceFrench PolynesiaGabonGambiaGeorgiaGermanyGhanaGreeceGreenlandGrenadaGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJordanKazakhstanKenyaKiribatiNorth KoreaSouth KoreaKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMauritaniaMauritiusMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew ZealandNicaraguaNigerNigeriaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSaint MartinSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSpainSri LankaSudanSudan, SouthSurinameSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTogoTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.YemenZambiaZimbabwe Country Date of Birth* GenderSelect GenderMaleFemalePrefer not to answerEmailThis field is for validation purposes and should be left unchanged.