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Forms for Instructors, ITs and ITEs
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Safety Education & Instruction Council


  • To apply for course insurance, complete the appropriate Course Registration Form below (Skills, Assessment, Certification)
  • ACA Waiver & Release of Liability - Adult 
  • ACA Waiver & Release of Liability - Minor (Under Age 18 at the time of registration)
  • ACA Incident / Accident Report Form (PDF)

Skills Courses: Please type & email (Do not send hard copies)

Assessment Courses: Please type & email (Do not send hard copies)

  • Assessment Course Registration Form (Online / Word)
  • Assessment Course Report Form (Online / Word)
  • Temporary Assessment Cards

Instructor Certification Courses: Please type & email (Do not send hard copies)

  • Certification Course Registration Form (Online / Word)
  • Certification Course Report Form (Online / Word)
  • Mentorship Certification Report Form (Word) (SEIC Policy Manual - Chapter 2.C.1)
  • Instructor Upgrade/Removal of Continuation Certification Report (Online / Word)
  • Temporary Instructor Certification Cards
  • Temporary Assessment / Endorsement Cards
  • Instructor Trainer / Certification Course Evaluation (Word)

Instructor Maintenance

  • Instructor Certification Extension Application (Online)

Instructor Trainers

Instructor Candidate Evaluation Form (Word)

Instructor Candidate Continuation Form (Word)

Instructor Trainer Candidate Registration Form (Word)

Instructor Trainer Application (Word)

Instructor Trainer Educator (Application / Renewal)


Paddlesport Safety Facilitator Certification/Endorsement Course Report Form (Excel)

SEIC Policy Waiver Request (Online)

Overview - Who Can Teach What? (PDF)

ACA Powerpoint Template 2012 (ppt)

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