SOLO WFR & WEMT Recertification Application

Second Participant's Name

First Name*

Last Name*

Second Participant's Date of Birth*

Second Participant's Information

In order to process your recertification, SOLO needs scans or images of the following certification cards. If you do not have copies, please make a note in the field below. If we need to look up your certification, you will be charged an additional $10 lost-card processing fee.

I need you to look up my previous certification and understand there will be an additional $10 for this service.

Upload an image of your current WFR or WEMT card.

Valid file types: JPG, GIF, PNG, and PDF

Upload an image of your WFA card.

Valid file types: JPG, GIF, PNG, and PDF

Upload an image of your CPR card. SOLO WFR and WEMT certifications are invalid without an active (non-expired) CPR certification.

Valid file types: JPG, GIF, PNG, and PDF

Please provide the course type, site name, and location of the recertification course you took. For example, WFA, SOLO Main Campus, Conway, NH.

Please provide the dates of the course you recently completed. For example, March 8 - 9, 2022.

Please provide the name of your instructor from the course you recently attended.

Below are the different types of card options available with recertification. Please note, the general processing fee of $15 includes an ecard. Prices shown are for the recertification fee AND card type.*

E-card only ($15)

E-card and paper card mailed ($15)

E-card and plastic card mailed ($25)

Mailing Address (to receive your card if applicable)

Mailing city, state, and zip code

Please indicate if you took your recertification exam at your recent course. *

No

Yes

If you are a WFR recert and selected "no," you will be redirected to a new page to take the WFR recert exam after you complete this form. If you selected "yes," you do not need to retake the exam and can simply exit the next window. If you are a WEMT recert, please contact the office to receive your exam.

Once we receive this application, SOLO will invoice you via PayPal for all associated fees. Receipt of your PayPal invoice indicates your card is being processed. In the event we have questions, someone from our office will email you for any additional information needed to complete your application.

Third Participant's Name

First Name*

Last Name*

Third Participant's Date of Birth*

Third Participant's Information

In order to process your recertification, SOLO needs scans or images of the following certification cards. If you do not have copies, please make a note in the field below. If we need to look up your certification, you will be charged an additional $10 lost-card processing fee.

I need you to look up my previous certification and understand there will be an additional $10 for this service.

Upload an image of your current WFR or WEMT card.

Valid file types: JPG, GIF, PNG, and PDF

Upload an image of your WFA card.

Valid file types: JPG, GIF, PNG, and PDF

Upload an image of your CPR card. SOLO WFR and WEMT certifications are invalid without an active (non-expired) CPR certification.

Valid file types: JPG, GIF, PNG, and PDF

Please provide the course type, site name, and location of the recertification course you took. For example, WFA, SOLO Main Campus, Conway, NH.

Please provide the dates of the course you recently completed. For example, March 8 - 9, 2022.

Please provide the name of your instructor from the course you recently attended.

Below are the different types of card options available with recertification. Please note, the general processing fee of $15 includes an ecard. Prices shown are for the recertification fee AND card type.*

E-card only ($15)

E-card and paper card mailed ($15)

E-card and plastic card mailed ($25)

Mailing Address (to receive your card if applicable)

Mailing city, state, and zip code

Please indicate if you took your recertification exam at your recent course. *

No

Yes

If you are a WFR recert and selected "no," you will be redirected to a new page to take the WFR recert exam after you complete this form. If you selected "yes," you do not need to retake the exam and can simply exit the next window. If you are a WEMT recert, please contact the office to receive your exam.

Once we receive this application, SOLO will invoice you via PayPal for all associated fees. Receipt of your PayPal invoice indicates your card is being processed. In the event we have questions, someone from our office will email you for any additional information needed to complete your application.

Fourth Participant's Name

First Name*

Last Name*

Fourth Participant's Date of Birth*

Fourth Participant's Information

In order to process your recertification, SOLO needs scans or images of the following certification cards. If you do not have copies, please make a note in the field below. If we need to look up your certification, you will be charged an additional $10 lost-card processing fee.

I need you to look up my previous certification and understand there will be an additional $10 for this service.

Upload an image of your current WFR or WEMT card.

Valid file types: JPG, GIF, PNG, and PDF

Upload an image of your WFA card.

Valid file types: JPG, GIF, PNG, and PDF

Upload an image of your CPR card. SOLO WFR and WEMT certifications are invalid without an active (non-expired) CPR certification.

Valid file types: JPG, GIF, PNG, and PDF

Please provide the course type, site name, and location of the recertification course you took. For example, WFA, SOLO Main Campus, Conway, NH.

Please provide the dates of the course you recently completed. For example, March 8 - 9, 2022.

Please provide the name of your instructor from the course you recently attended.

Below are the different types of card options available with recertification. Please note, the general processing fee of $15 includes an ecard. Prices shown are for the recertification fee AND card type.*

E-card only ($15)

E-card and paper card mailed ($15)

E-card and plastic card mailed ($25)

Mailing Address (to receive your card if applicable)

Mailing city, state, and zip code

Please indicate if you took your recertification exam at your recent course. *

No

Yes

If you are a WFR recert and selected "no," you will be redirected to a new page to take the WFR recert exam after you complete this form. If you selected "yes," you do not need to retake the exam and can simply exit the next window. If you are a WEMT recert, please contact the office to receive your exam.

Once we receive this application, SOLO will invoice you via PayPal for all associated fees. Receipt of your PayPal invoice indicates your card is being processed. In the event we have questions, someone from our office will email you for any additional information needed to complete your application.

Fifth Participant's Name

First Name*

Last Name*

Fifth Participant's Date of Birth*

Fifth Participant's Information

In order to process your recertification, SOLO needs scans or images of the following certification cards. If you do not have copies, please make a note in the field below. If we need to look up your certification, you will be charged an additional $10 lost-card processing fee.

I need you to look up my previous certification and understand there will be an additional $10 for this service.

Upload an image of your current WFR or WEMT card.

Valid file types: JPG, GIF, PNG, and PDF

Upload an image of your WFA card.

Valid file types: JPG, GIF, PNG, and PDF

Upload an image of your CPR card. SOLO WFR and WEMT certifications are invalid without an active (non-expired) CPR certification.

Valid file types: JPG, GIF, PNG, and PDF

Please provide the course type, site name, and location of the recertification course you took. For example, WFA, SOLO Main Campus, Conway, NH.

Please provide the dates of the course you recently completed. For example, March 8 - 9, 2022.

Please provide the name of your instructor from the course you recently attended.

Below are the different types of card options available with recertification. Please note, the general processing fee of $15 includes an ecard. Prices shown are for the recertification fee AND card type.*

E-card only ($15)

E-card and paper card mailed ($15)

E-card and plastic card mailed ($25)

Mailing Address (to receive your card if applicable)

Mailing city, state, and zip code

Please indicate if you took your recertification exam at your recent course. *

No

Yes

If you are a WFR recert and selected "no," you will be redirected to a new page to take the WFR recert exam after you complete this form. If you selected "yes," you do not need to retake the exam and can simply exit the next window. If you are a WEMT recert, please contact the office to receive your exam.

Once we receive this application, SOLO will invoice you via PayPal for all associated fees. Receipt of your PayPal invoice indicates your card is being processed. In the event we have questions, someone from our office will email you for any additional information needed to complete your application.

Sixth Participant's Name

First Name*

Last Name*

Sixth Participant's Date of Birth*

Sixth Participant's Information

In order to process your recertification, SOLO needs scans or images of the following certification cards. If you do not have copies, please make a note in the field below. If we need to look up your certification, you will be charged an additional $10 lost-card processing fee.

I need you to look up my previous certification and understand there will be an additional $10 for this service.

Upload an image of your current WFR or WEMT card.

Valid file types: JPG, GIF, PNG, and PDF

Upload an image of your WFA card.

Valid file types: JPG, GIF, PNG, and PDF

Upload an image of your CPR card. SOLO WFR and WEMT certifications are invalid without an active (non-expired) CPR certification.

Valid file types: JPG, GIF, PNG, and PDF

Please provide the course type, site name, and location of the recertification course you took. For example, WFA, SOLO Main Campus, Conway, NH.

Please provide the dates of the course you recently completed. For example, March 8 - 9, 2022.

Please provide the name of your instructor from the course you recently attended.

Below are the different types of card options available with recertification. Please note, the general processing fee of $15 includes an ecard. Prices shown are for the recertification fee AND card type.*

E-card only ($15)

E-card and paper card mailed ($15)

E-card and plastic card mailed ($25)

Mailing Address (to receive your card if applicable)

Mailing city, state, and zip code

Please indicate if you took your recertification exam at your recent course. *

No

Yes

If you are a WFR recert and selected "no," you will be redirected to a new page to take the WFR recert exam after you complete this form. If you selected "yes," you do not need to retake the exam and can simply exit the next window. If you are a WEMT recert, please contact the office to receive your exam.

Once we receive this application, SOLO will invoice you via PayPal for all associated fees. Receipt of your PayPal invoice indicates your card is being processed. In the event we have questions, someone from our office will email you for any additional information needed to complete your application.

Seventh Participant's Name

First Name*

Last Name*

Seventh Participant's Date of Birth*

Seventh Participant's Information

In order to process your recertification, SOLO needs scans or images of the following certification cards. If you do not have copies, please make a note in the field below. If we need to look up your certification, you will be charged an additional $10 lost-card processing fee.

I need you to look up my previous certification and understand there will be an additional $10 for this service.

Upload an image of your current WFR or WEMT card.

Valid file types: JPG, GIF, PNG, and PDF

Upload an image of your WFA card.

Valid file types: JPG, GIF, PNG, and PDF

Upload an image of your CPR card. SOLO WFR and WEMT certifications are invalid without an active (non-expired) CPR certification.

Valid file types: JPG, GIF, PNG, and PDF

Please provide the course type, site name, and location of the recertification course you took. For example, WFA, SOLO Main Campus, Conway, NH.

Please provide the dates of the course you recently completed. For example, March 8 - 9, 2022.

Please provide the name of your instructor from the course you recently attended.

Below are the different types of card options available with recertification. Please note, the general processing fee of $15 includes an ecard. Prices shown are for the recertification fee AND card type.*

E-card only ($15)

E-card and paper card mailed ($15)

E-card and plastic card mailed ($25)

Mailing Address (to receive your card if applicable)

Mailing city, state, and zip code

Please indicate if you took your recertification exam at your recent course. *

No

Yes

If you are a WFR recert and selected "no," you will be redirected to a new page to take the WFR recert exam after you complete this form. If you selected "yes," you do not need to retake the exam and can simply exit the next window. If you are a WEMT recert, please contact the office to receive your exam.

Once we receive this application, SOLO will invoice you via PayPal for all associated fees. Receipt of your PayPal invoice indicates your card is being processed. In the event we have questions, someone from our office will email you for any additional information needed to complete your application.

Eighth Participant's Name

First Name*

Last Name*

Eighth Participant's Date of Birth*

Eighth Participant's Information

In order to process your recertification, SOLO needs scans or images of the following certification cards. If you do not have copies, please make a note in the field below. If we need to look up your certification, you will be charged an additional $10 lost-card processing fee.

I need you to look up my previous certification and understand there will be an additional $10 for this service.

Upload an image of your current WFR or WEMT card.

Valid file types: JPG, GIF, PNG, and PDF

Upload an image of your WFA card.

Valid file types: JPG, GIF, PNG, and PDF

Upload an image of your CPR card. SOLO WFR and WEMT certifications are invalid without an active (non-expired) CPR certification.

Valid file types: JPG, GIF, PNG, and PDF

Please provide the course type, site name, and location of the recertification course you took. For example, WFA, SOLO Main Campus, Conway, NH.

Please provide the dates of the course you recently completed. For example, March 8 - 9, 2022.

Please provide the name of your instructor from the course you recently attended.

Below are the different types of card options available with recertification. Please note, the general processing fee of $15 includes an ecard. Prices shown are for the recertification fee AND card type.*

E-card only ($15)

E-card and paper card mailed ($15)

E-card and plastic card mailed ($25)

Mailing Address (to receive your card if applicable)

Mailing city, state, and zip code

Please indicate if you took your recertification exam at your recent course. *

No

Yes

If you are a WFR recert and selected "no," you will be redirected to a new page to take the WFR recert exam after you complete this form. If you selected "yes," you do not need to retake the exam and can simply exit the next window. If you are a WEMT recert, please contact the office to receive your exam.

Once we receive this application, SOLO will invoice you via PayPal for all associated fees. Receipt of your PayPal invoice indicates your card is being processed. In the event we have questions, someone from our office will email you for any additional information needed to complete your application.

Ninth Participant's Name

First Name*

Last Name*

Ninth Participant's Date of Birth*

Ninth Participant's Information

In order to process your recertification, SOLO needs scans or images of the following certification cards. If you do not have copies, please make a note in the field below. If we need to look up your certification, you will be charged an additional $10 lost-card processing fee.

I need you to look up my previous certification and understand there will be an additional $10 for this service.

Upload an image of your current WFR or WEMT card.

Valid file types: JPG, GIF, PNG, and PDF

Upload an image of your WFA card.

Valid file types: JPG, GIF, PNG, and PDF

Upload an image of your CPR card. SOLO WFR and WEMT certifications are invalid without an active (non-expired) CPR certification.

Valid file types: JPG, GIF, PNG, and PDF

Please provide the course type, site name, and location of the recertification course you took. For example, WFA, SOLO Main Campus, Conway, NH.

Please provide the dates of the course you recently completed. For example, March 8 - 9, 2022.

Please provide the name of your instructor from the course you recently attended.

Below are the different types of card options available with recertification. Please note, the general processing fee of $15 includes an ecard. Prices shown are for the recertification fee AND card type.*

E-card only ($15)

E-card and paper card mailed ($15)

E-card and plastic card mailed ($25)

Mailing Address (to receive your card if applicable)

Mailing city, state, and zip code

Please indicate if you took your recertification exam at your recent course. *

No

Yes

If you are a WFR recert and selected "no," you will be redirected to a new page to take the WFR recert exam after you complete this form. If you selected "yes," you do not need to retake the exam and can simply exit the next window. If you are a WEMT recert, please contact the office to receive your exam.

Once we receive this application, SOLO will invoice you via PayPal for all associated fees. Receipt of your PayPal invoice indicates your card is being processed. In the event we have questions, someone from our office will email you for any additional information needed to complete your application.

Tenth Participant's Name

First Name*

Last Name*

Tenth Participant's Date of Birth*

Tenth Participant's Information

In order to process your recertification, SOLO needs scans or images of the following certification cards. If you do not have copies, please make a note in the field below. If we need to look up your certification, you will be charged an additional $10 lost-card processing fee.

I need you to look up my previous certification and understand there will be an additional $10 for this service.

Upload an image of your current WFR or WEMT card.

Valid file types: JPG, GIF, PNG, and PDF

Upload an image of your WFA card.

Valid file types: JPG, GIF, PNG, and PDF

Upload an image of your CPR card. SOLO WFR and WEMT certifications are invalid without an active (non-expired) CPR certification.

Valid file types: JPG, GIF, PNG, and PDF

Please provide the course type, site name, and location of the recertification course you took. For example, WFA, SOLO Main Campus, Conway, NH.

Please provide the dates of the course you recently completed. For example, March 8 - 9, 2022.

Please provide the name of your instructor from the course you recently attended.

Below are the different types of card options available with recertification. Please note, the general processing fee of $15 includes an ecard. Prices shown are for the recertification fee AND card type.*

E-card only ($15)

E-card and paper card mailed ($15)

E-card and plastic card mailed ($25)

Mailing Address (to receive your card if applicable)

Mailing city, state, and zip code

Please indicate if you took your recertification exam at your recent course. *

No

Yes

If you are a WFR recert and selected "no," you will be redirected to a new page to take the WFR recert exam after you complete this form. If you selected "yes," you do not need to retake the exam and can simply exit the next window. If you are a WEMT recert, please contact the office to receive your exam.

Once we receive this application, SOLO will invoice you via PayPal for all associated fees. Receipt of your PayPal invoice indicates your card is being processed. In the event we have questions, someone from our office will email you for any additional information needed to complete your application.