Welcome to the United States Water Fitness Association

Aquatic Directors & Senior Aquatic Directors
Online Registration Form


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.

You are currently registering for: Aquatic Director & Senior Aquatic Director Certification Course


Name:
*required
Address 1:
*required
Address 2:
*required
City:
*required
State:
*required
Zip Code:
*required
E-mail:
*required
Phone:
*required

Program Fee (Please Check ONE): *required

Non-Member Fee   USWFA Member Fee (Save 20%)
Aquatic Director $149 Aquatic Director$119
Senior Aquatic Director$179 Senior Aquatic Director$143

For orders out of the USA:  Add $50 to the program fee.

USWFA Members
You must include your membership expiration date to receive the 20% disccount.

Yes, I am a USWFA Member. My membership expires on:  (MM/DD/YY)

If you are not a USWFA Member, find out how to join the USWFA!


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." There are no refunds after we receive your order. The above prices includes shipping by Priority Mail, handling and processing.

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, Fax, E-Mail or Call:  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



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