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 4/25/2020AL Huntsville 4/4/2020AL Montgomery 6/27/2020CA Menifee 3/28/2020CA Stockton 4/20/2020CA Torrance 8/1/2020CA Woodland Hills 4/4/2020CO Sterling 4/28/2020 & 4/30/2020CT Bridgeport 4/4/2020CT Enfield 5/2/2020CT Middletown 4/4/2020CT Waterbury 5/16/2020DE Wilmington 5/2/2020FL Fort Myers 5/2/2020FL Fort Pierce 3/28/2020FL Sarasota 7/11/2020GA Savannah 7/11/2020IL Des Plaines 4/19/2020IL Glen Ellyn 4/21/2020 & 4/23/2020IL Joliet 4/16/2020 & 4/18/2020IL Joliet - St Francis 5/4/2020IL Mattoon 5/14/2020 & 5/16/2020IL Springfield 3/26/2020 & 3/28/2020IN South Bend 5/2/2020KS Andover 4/25/2020LA Shreveport 5/2/2020MA Bedford 3/28/2020MA Boston 5/3/2020MA Danvers 3/21/2020MA Worcester 5/2/2020MD Hagerstown 7/25/2020MD Salisbury 4/16/2020 & 4/18/2020MD Wye Mills 3/21/2020MI Ann Arbour 5/2/2020MI Clinton Township 4/18/2020MI Monroe 4/25/2020MI Rochester 4/23/2020 & 4/25/2020NC Charlotte 3/21/2020NC Greensboro 4/4/2020NC Matthews 5/5/2020 & 5/7/2020NC Montreat 5/1/2020NJ Edison 3/24/2020 & 3/26/2020NJ Lincroft 3/28/2020NJ Newark 4/18/2020NJ Pemberton - registered students only 5/17/2020NJ Toms River 4/5/2020NJ West Windsor 3/29/2020NY Bayside 4/18/2020NY Garden City 4/21/2020 & 4/25/2020NY Kingston 5/2/2020NY New York 4/4/2020NY Staten Island 4/25/2020NY Staten Island 5/31/2020NY Valhalla 3/29/2020OH Canfield 4/4/2020OH Middleburg Heights 4/4/2020PA Bethlehem 4/4/2020PA Butler 5/5/2020 & 5/7/2020PA Media 3/31/2020 & 4/2/2020PA Philadelphia - Main 4/25/2020SC Aiken 4/15/2020SC Charleston 3/21/2020SC Columbia 3/21/2020SC Conway 3/28/2020SC Conway 5/2/2020TN Chattanooga 5/9/2020TN Gallatin 5/2/2020TX Arlington 3/28/2020TX Austin 3/19/2020 & 3/21/2020TX El Paso 5/2/2020TX McAllen 5/16/2020TX Midland 5/2/2020TX San Antonio 4/4/2020VA Hampton 5/2/2020VA Richmond 3/29/2020VA Virginia Beach 4/7/2020 & 4/9/2020WA Bothell 4/4/2020WI Green Bay 5/2/2020Exam 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 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 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 answerEmailThis field is for validation purposes and should be left unchanged.