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 5/18CA Menifee 5/18CA Orange 5/18CA Torrance 3/24CO Sterling 3/28CT Bridgeport 5/18CT Enfield 4/13CT Glastonbury 3/2CT Manchester 3/5 & 3/7CT Meridan 3/19 & 3/21CT Middletown 4/13CT Waterbury 5/11DE Wilmington 3/23FL DeLand 3/9FL Fort Pierce 3/9FL Jacksonville 4/13FL Leesburg 3/30FL Sarasota 5/18GA Augusta 3/9GA Savannah 3/19 & 3/21IL Carol Stream 2/9IL Decatur 3/16IL Des Plaines 4/9 & 4/11IL Edwardsville 3/30IL Glen Ellyn 4/30 & 5/2IL Joliet 5/18IL Park Ridge 3/2IL Springfield 3/28 & 3/30IL Sugar Grove 5/11IN South Bend 5/18KS Andover 5/11LA Bossier City 5/18MA Bedford 3/23MA Boston 4/6MA Boston 5/19MA Danvers 3/30MA Framingham 5/18MA Springfield 3/9MA West Barnstable 4/6MA Worcester 5/18MD Hagerstown 5/18MD Largo 3/31MD Salisbury 3/28 & 3/30MD Wye Mills 4/20MI Ann Arbour 3/16MI Clinton Township 4/13MI Monroe 5/18MI Rochester 4/15 & 4/17MN St. Paul 1/25MN St. Paul 3/15MO St Charles 3/23NC Charlotte 3/23NC Greensboro 3/30NC Matthews 4/23 & 4/25NJ Newark 4/13NJ Sewell 5/18NJ West Windsor 3/17NY Bayside 4/13NY Garden City 4/23 & 4/25NY Kingston 4/6NY New York 4/6NY Staten Island 5/5NY Staten Island 5/18NY Valhalla 4/13OH Canfield 3/23OH Toledo 2/23OH Toledo 3/26 & 3/28PA Bethlehem 3/23PA Butler 5/14 & 5/16PA Johnstown 3/23PA Media 4/2 & 4/4PA New Castle 3/19 & 3/21PA Philadelphia 3/16PA Philadelphia 4/27SC Charleston 3/23SC Columbia 3/23SC Conway 3/23TN Chattanooga 3/16TN Gallatin 5/18TX Arlington 3/9TX Austin 3/21 & 3/23TX El Paso 5/18TX McAllen 5/18TX Midland 3/23TX San Antonio 4/6VA Chesapeake 5/18VA Hampton 3/9VA Richmond 3/24VA Virginia Beach 1/29 & 1/31VA Virginia Beach 4/9 & 4/11VA Weyers Cave 3/23WA Bothell 3/19 & 3/21WA Everett 3/9WI 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 answerPhoneThis field is for validation purposes and should be left unchanged.