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 Huntsville 3/20/2021AZ Tucson 3/20/2021CA Glendale 3/20/2021CA Orange 3/20/2021CA Rohnert Park 3/20/2021CA San Diego 3/20/2021CA San Francisco 3/20/2021CA San Jacinto 3/20/2021CA San Luis Obispo 3/20/2021CA Stockton 1/8/2021CA Torrance 3/20/2021CA Woodland Hills 3/20/2021CO Denver 3/20/2021CT Middlesex 3/20/2021DC Washington 3/20/2021DE Wilmington 3/20/2021FL Bradenton 3/20/2021FL Jacksonville 3/20/2021FL Miami 3/20/2021FL Ocala 3/20/2021FL Pensacola 3/20/2021FL Sarasota 3/20/2021FL Tampa 3/20/2021GA Atlanta 3/20/2021IA Cedar Falls 3/20/2021IL Chicago 3/20/2021IN Indianapolis 3/20/2021KS Kansas City 3/20/2021KY Louisville 3/20/2021LA New Orleans 3/20/2021MA Bedford 3/27/2021MA Boston 3/20/2021MA West Barnstable 3/20/2021MD Baltimore 3/20/2021MD Fredrick 3/20/2021MI Detroit 3/20/2021MN Minneapolis 3/20/2021MO St. Louis 3/20/2021NC Charlotte 3/20/2021NC Raleigh 3/20/2021NE Lincoln 3/20/2021NJ Trenton 3/20/2021NV Las Vegas 3/20/2021NY Buffalo 3/20/2021NY New York 3/20/2021NY Syracuse 3/20/2021OH Canton 3/20/2021OH Cleveland 3/20/2021OH Toledo 3/20/2021ON Toronto 3/20/2021OR Portland 3/20/2021PA Philadelphia 3/20/2021PA Pittsburgh 3/20/2021SC Columbia 3/20/2021SC Myrtle Beach 3/20/2021TN Nashville 3/20/2021TX Austin 3/20/2021TX Dallas/Arlington 3/20/2021TX El Paso 4/17/2021TX Houston 3/20/2021UT Salt Lake / Orem 3/20/2021VA Charlottesville 3/20/2021VA Richmond 3/20/2021VA Virginia Beach 3/20/2021WA Seattle 3/20/2021WI Milwaukee 3/20/2021Exam 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 Requirement* 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.) It is preferred you submit a copy of your CPR/AED prior to your scheduled testing date to avoid any delays in the issuance of the Certification. If you are unable to obtain/ provide a copy prior the testing date you will still be eligible to test, but will be required to send proof within 60 days of the original testing date in order to have a Certification issued. Failure to supply a valid CPR/AED within that time from will result in a non-issuance of your certification. 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. 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.) I am taking the CPR/AED course soon. I will send the certification card or confirmation letter as proof within 60 days of the original testing date in order to have a certification issued. 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 COVID-19 Notice*We care about our student trainers, teachers and testers. Therefore, we are requiring masks to enter the gym or college location at the assigned time/s. I understand that due to the COVID-19 pandemic that there is a risk. I agree to wear a mask at all times and that I will be asked to leave the facility if I do not have one or wear it on site at all times. ADA 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 AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Date of Birth* Date Format: MM slash DD slash YYYY GenderSelect GenderMaleFemalePrefer not to answerPhoneThis field is for validation purposes and should be left unchanged.