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Aquatic Therapy and Therapeutic Exercise Certification

Aquatic Therapy and Therapeutic Exercise Certification

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Affirmation (continued)<br />

For online test takers:<br />

I, _________________ (test takers name) underst<strong>and</strong> that these Exams are available online for<br />

my benefit <strong>and</strong> that I will conduct my completion of these exams as if I were in a moderated testing<br />

environment.<br />

I, __________________(test takers name) agree to complete the Exams on my own, without<br />

any assistance<br />

Signature: _________________________________________________ Date: _________________<br />

Prerequisite. The prerequisite for this exam is 15 hours of <strong>Aquatic</strong> <strong>Therapy</strong>, Rehab<br />

<strong>and</strong>/or <strong>Aquatic</strong> <strong>Therapeutic</strong> <strong>Exercise</strong> education. It is preferable that the education is<br />

h<strong>and</strong>s-on but online or correspondence courses also qualify. Please list your education<br />

hours below. You may also use this form for <strong>Certification</strong> Renewal purposes.<br />

Date Course Name Provider/Provider # No. of contact hours<br />

Updated 08/29/08

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