:::: IAFF/IAFC Fire Service Joint Labor Management   ::   IAFF/IAFC/ACE Peer Fitness Training Certification Program::::

Welcome to the electronic version of the Peer Fitness Trainer Registration. Please complete all the applicable sections. After you have completed this form, click the register button at the bottom of this page to register.


Candidate's Information    
SSN/SIN:
IAFF Member Number:
First Name:
Last Name:
IAFF Local Number:
Address 1:
Address 2:
City:
State/Province:
Zip:
Country:
Phone:
Email:
Gender: (optional)
Date of Birth: (optional)

Program Options    
Program Types:
Locations:
Past Programs:
Program Dates:

CPR Certifications    
Organization:
Expiration Date:

Payment Options    
Payment Type:

Affirmation Statement    

By clicking "I Agree" below, I affirm that I am currently CPR certified and that the information contained on my registration form is true, complete and correct to the best of my knowledge. I affirm that I am a fire fighter, EMS provider, or employed by a fire department and involved in a fitness program. I have read the conditions set forth in the IAFF/IAFC/ACE Candidate Information Guide concerning the administration of this test, the reporting of test scores, the certification process and policies and ACE Professional Practices and Disciplinary Procedures.

I also agree to release to the IAFF/IAFC/ACE Certification Program any information relevant to my certification or re-certification, including proof of current CPR certification. I further understand that if any information is later determined to be false, the IAFF/IAFC/ACE Certification Program reserves the right to revoke any certification that has been granted on the basis thereof.

I agree, accept and will adhere to the ACE Code of Ethics and ACE Professional Practices and Disciplinary Procedures to the best of my ability. I further understand that IAFF/IAFC/ACE Certification Program certification does not certify or in any way guarantee the quality of my work as n IAFF/IAFC/ACE Certification Program Professional. I therefore agree to indemnify and hold harmless the IAFF, the IAFC and ACE, its officers, directors, staff and agents for and from any claims, legal or otherwise, arising from my actions as an IAFF/IAFC/ACE-certified Professional. I further understand that neither the IAFF, IAFC nor ACE is responsible for any actions I might take, or damages I might cause, arising out of my work as an IAFF/IAFC/ACE-certified Professional. I AGREE