First Name Last Name Street Address City State AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY ZIP Email Address Primary Phone Secondary Phone Original or Last Certification Date:
NOTE: Current CPR and First AID/AED Certifications are REQUIRED to RENEW your PFIT certification.
I have current CPR certification. It expires on (mm/dd/yyyy)
I have current First Aid/AED certification. It expires on (mm/dd/yyyy)
Fees: $55.00 prior to expiration; $75.00 up to six months after expiration; $90.00 six months to one year
Mastercard VISA American Express
Name (As Shown On Card)
Credit Card Number (no dashes/spaces) Expiration Date (mm/yy)
Security Code or CVV (3 digits on back of MC/VISA, 3 or 4 digits on front of AMEX)
Certification(s) Being Renewed PFIT CPFT PFIT RES-C PFIT CGFI PFIT AHPS PFIT ESNS
Date of CEC Workshop (mm/dd/yy) Number of CECs Earned
Topic of CEC Workshop
Provider Organization Name of Instructor(s)
Provider Telephone Provider Email
Please make a selection. I AUTHORIZE PROFESSIONAL FITNESS INSTRUCTOR TRAINING TO CHARGE MY CREDIT/DEBIT CARD FOR THE CERTIFICATION RENEWAL FEES, AS OUTLINED IN THE CERTIFICATION RENEWAL GUIDLINES, WHICH I HAVE CAREFULLY REVIEWED (links provided at top and bottom of this page in Adobe PDF format)
Call Dahelia Hunt, Director of Certification, at 281-344-9910 or 800-899-7348 with any questions relating to certification renewal.
