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 & DateCA Menifee 12/14/2019CA Torrance 12/7/2019CO Sterling 11/19/2019 & 11/21/2019CT Bridgeport 11/16/2019CT Enfield 11/23/2019CT Middletown 11/16/2019CT Waterbury 12/14/2019FL Sarasota 11/23/2019IL Des Plaines 11/17/2019IL Glen Ellyn 11/19/2019 & 11/21/2019IL Joliet 11/14/2019 & 11/16/2019IL Palatine 12/7/2019IL Sugar Grove 11/16/2019IN Fort Wayne 11/23/2019IN South Bend 12/14/2019KY Richmond 11/20/2019LA Shreveport 12/14/2019MA Bedford 12/14/2019MA Danvers 11/16/2019MA Springfield 12/3/2019 & 12/5/2019MD Largo 11/17/2019MI Ann Arbour 12/14/2019MI Clinton Township 12/3/2019 & 12/5/2019MI Monroe 12/7/2019NJ Lincroft 11/16/2019NJ Newark 11/23/2019NJ Sewell 11/23/2019NJ Toms River 11/24/2019NY Bayside 12/7/2019NY Garden City 11/19/2019 & 11/23/2019NY Kingston 11/16/2019NY New York 12/7/2019NY Staten Island 12/8/2019NY Staten Island 12/14/2019NY Valhalla 11/16/2019OH Canfield 11/23/2019PA Philadelphia - Main 12/7/2019SC Aiken 11/15/2019 & 11/22/2019SC Charleston 11/16/2019TX Arlington 12/7/2019TX Austin 11/14/2019 & 11/16/2019TX Dallas 12/7/2019TX El Paso 11/23/2019TX McAllen 11/16/2019TX San Antonio 12/7/2019VA Hampton 12/12/2019 & 12/14/2019VA Richmond 11/17/2019VA Virginia Beach 12/10/2019 & 12/12/2019VA Weyers Cave 11/16/2019WA Everett 11/16/2019WI Green Bay 12/14/2019WY Powell 11/23/2019ON Toronto 12/7/2019Exam 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 ageCPR/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 equivalentHigh 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 examsADA accommodations needed?*YesNoALERT: Send all ADA official document forms to Devon Lewis at firstname.lastname@example.org 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.