Welcome to the United States Water Fitness Association

Aquatic Wellness Coach
Aquatic Fitness Personal Trainer
Online Registration Form
Each of these is a three (3) year certification
Welcome to Step 1 of the online Registration Process!
(Step 2 will follow after submitting the form below)
Please Note: Registration must be completely filled in and payment must be received or registration will not be processed.

Name:
* required
Age:
* required
Address:
* required
* required
City:
* required
State:
* required
Zip Code:
* required
E-mail:
* required
Phone:
* required
Facility:
Address:
City:
State:
Zip Code:
Phone:
Website:

Program Fee (Please Check ONE): * required

Level Program Fee Check One
Primary $449.00
Masters $549.00
Elite $649.00

How I Plan to Pay for the Course (select one): * required

Please note: Registration is not complete until payment is received and processed. Payment instructions appear on the next page, after clickling "Submit My Registration."

Credit card online (USWFA uses PayPal to process credit cards, but a PayPal account is not required.)
PayPal direct cash transfer (PayPal account holders only)

Note: Course materials are not sent until payment is received and processed.
Faxing my credit card information
Mailing my credit card information

Questions?

Mail, Call, Fax, or E-Mail : United States Water Fitness Association
PO Box 243279, Boynton Beach, FL 33424-3279, Phone: 561-732-9908, Fax: 561-732-0950, E-Mail: Info@USWFA.org

Credit Card Orders Accepted By Telephone During Regular Business Hours
Online and/or By Fax Or E-Mail Seven Days a Week 24 Hours A Day



Many of our Forms and Publications available on this website are in PDF format. If you have problems viewing these files please visit the Adobe website to download the free Acrobat Reader: