Online Renewal Form

PFIT RECERTIFICATION / RENEWAL FORM

Please make any corrections in your name and/or address in the section below. Complete the form by providing the additional information to the best of your knowledge. PFIT credentials available for recertification are:

PFIT Certified Group Fitness Instructor (CGFI)
PFIT Certified Personal Fitness Trainer (CPFT)
PFIT Rehabilitative Exercise Specialist-Certified (RES-C)
PFIT Exercise & Sports Nutrition Specialist-Certified (ESNS-C)
PFIT Advanced Human Performance Specialist (AHPS)

* Denotes manadatory fields

*PFIT ID Number (your original certification date [mm/dd/yyyy] and initials):

*Salutation:

*First Name: Middle: *Last Name:

*Preferred Mailing Address (for all PFIT mailings):

*Address:

*City: *State:

*Zip/Postal Code: *Country:

*Please note: This address will be used for all PFIT mailings.

Business Phone: *Home Phone:

Fax:

*E-mail Address (used to confirm renewal):

*Certification Level(s):
CGFI | CPFT | RES-C | ESNS-C | AHPS

Amount of PFIT CECs applicable for this period:

Amount of CECs earned from other organizations:

Total CECs

List all of your continuing education credits below:

  • Topic:   Date (mm/dd/yyyy):

    Presenter Name:   Contact Hours:

    Provider Organization:   Provider Number (if available):

  • Topic:   Date (mm/dd/yyyy):

    Presenter Name:   Contact Hours:

    Provider Organization:   Provider Number (if available):

  • Topic:   Date (mm/dd/yyyy):

    Presenter Name:   Contact Hours:

    Provider Organization:   Provider Number (if available):

  • Topic:   Date (mm/dd/yyyy):

    Presenter Name:   Contact Hours:

    Provider Organization:   Provider Number (if available):

  • Topic:   Date (mm/dd/yyyy):

    Presenter Name:   Contact Hours:

    Provider Organization:   Provider Number (if available):

  • Topic:   Date (mm/dd/yyyy):

    Presenter Name:   Contact Hours:

    Provider Organization:   Provider Number (if available):

  • Topic:   Date (mm/dd/yyyy):

    Presenter Name:   Contact Hours:

    Provider Organization:   Provider Number (if available):

  • Topic:   Date (mm/dd/yyyy):

    • Presenter Name:   Contact Hours:

    Provider Organization:   Provider Number (if available):

 

Current Adult CPR  |   Current Basic First Aid

CPR Expire Date (mm/yyyy):   |  First Aid Expire Date (mm/yyyy):

 

MULTIPLE CREDENTIALS
If you have gained professional PFIT credentials at more than one level you must submit an renewal form for each certification being renewed.  While you may use some CECs to renew multiple certifications, a recertification fee (and, if applicable, a late fee) is assessed for each certification being renewed.  (Example:  If you are an PFIT CPFT and PFIT RES-c and are submitting a renewal application for both certifications, and the renewals are on time, you would submit a form for each, and the amount due would be $55.00 for each.)

Recertification / Renewal Fee (select one):

Standard Fee for on-time renewals = $55.00

 Late Fee - for renewals  up to 6 months late = $70.00

 Late Fee - for renewals from 7 to 12 months late = $85.00
 

Note:  Late fees only extend the time you have to apply for recertification, not the actual certification itself.  If you are late, your certification remains expired until all fees, CECs, and CPR/First Aid have been submitted.

All payments must be made in U.S. dollars. By submitting this form you are authorizing Professional Fitness Instructor Training to charge your credit card.

*Charge to:

*Credit Card Number:

*Credit Card Security Code (three-digit code on back of card): 

*Expiration Date (mm/yyyy):

I, by submitting thisPFIT Recertification/Renewal Form, understand that continuing education credits and Adult CPR and Basic First Aidcertification are necessary components of, and requirements for, valid PFIT certification/registration. I confirm that I have met all of the requirements for this level of credential and will provide proof when necessary.  Random audits are performed, and all applicants are subject to such.  I have completed the above application to the best of my knowledge and the information is accurate and true.

I have read, understand, and agree to the PFIT Recertification/Renewal policies.
Once we receive a complete PFIT Recertification/Renewal Form and payment, you will be sent new PFIT certificate(s). If you do not receive your new certificate(s) in 30 days, please contact Professional Fitness Instructor Training's Certification Department at dshunt@pfit.org  or 281-344-9910
 

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