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


  • To apply for course insurance, complete and submit the appropriate Course Registration Form below (Skills, Assessment, Certification)
  • ACA Waiver & Release of Liability:

    • Adult
    • Minor (Under age 18 at the time of registration) 
    •  ACA Incident / Accident Report Form (PDF)
  • Additional Insurance information (online)

Forms for Instructors:

  • 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
  • Additional Forms
    •  Instructor Certification Extension Application (Online)
    •  Paddlesport Safety Facilitator Certification/Endorsement Course Report Form (Excel)

Forms for Instructor Trainer Candidates (ITC):

  • Instructor Trainer Candidate Registration Form (Word / PDF)
  • Instructor Trainer Application (Word / PDF)

Forms for Instructor Trainers (IT):

  • Instructor Certification Workshops (IDW / ICE or ICW)
    • Certification Course Registration Form (Online / Word)
    • Certification Course Report Form (Online / Word)
    •  Temporary Instructor Certification Cards
    • Instructor Trainer / Certification Course Evaluation (Word)
    • Instructor Candidate Evaluation Form (Word)
    • Instructor Candidate Continuation Form (Word)
  • Additional Forms
    • Mentorship Certification Report Form (Word)
      •  SEIC Policy Manual - Chapter 2.C.1
    • Instructor Upgrade/Removal of Continuation Certification Report (Online Word)
    • Temporary Endorsement Cards (Word)
    • Instructor Certification Workshop Presentation (ppt)

Forms for Instructor Trainer Educators (ITE):

ACA Mission

Founded in 1880, The American Canoe Association (ACA) is a national nonprofit organization serving the broader paddling public by providing education related to all aspects of paddling, stewardship support to help protect paddling environments, and sanctioning of programs and events to promote paddlesport competition, exploration, and recreation.

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Contact Us
ACA | Canoe-Kayak-SUP-Raft-Rescue
503 Sophia St. Suite 100
Fredericksburg, VA 22401
Phone: 540-907-4460
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