CERT APPLICATION

Note that you may be required to submit supporting documents in order for your certification to be finalized. A PAWGI representative will contact you upon submission of your certification application, and payment of certification fee.

Certification Information
If applicable (CWG, CWG-SA, CSG, CWI, and CWIT only)
Contact Information
Name *
Name
Address *
Address
Medical Information
Has your doctor ever said that you have a heart condition and that you should only do physical activity recommended by your doctor? *
Do you feel pain in your chest when you do physical activity? *
In the past month, have you had chest pain when you were not doing physical activity? *
Do you lose your balance because of dizziness or do you ever lose consciousness? *
Do you have a bone or joint problem (for example back, knee or hip) that could be made worse by a change in your physical activity? *
Is your doctor currently prescribing drugs (for example water pills) for your blood or heart condition? *
Do you know of any other reason why you should not do any physical activity? *
Certifying Instructor Information
Eligibility, Currency, and Certification
I hereby confirm I meet all eligibility and/or currency requirements outlined in the latest version of PAWGI General Standards. *
I hereby certify that I have reviewed, and agree to abide by, the latest version of PAWGI General Standards. *
I hereby certify that all information provided in this application is true to the best of my knowledge. *
I ALSO UNDERSTAND THAT FAILURE TO MEEAT ELIGIBILITY AND/OR CURRENCY REQUIREMENTS, FAILURE TO COMPLY WITH PAWGI STANDARDS, AND/OR ANY MISREPRESENTATION IN THIS APPLICATION, IS GROUND FOR REVOCATION OF MY CERTIFICATION. *
Additional Information
Certification Fee (If Applicable)
CERTIFICATION APPLICATION SUBMISSION