National Swimming Pool Foundation
To enhance healthy living by increasing aquatic activity
through education & research / 4775 Granby Circle
Colorado Springs, CO 80919-4775 USA
Phone 719.540.9119 • FAX 719.540.2787
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NSPF®Intructor Contact Information

Pleasecompleteandreturnsowemayensureourrecordsareaccurate...evenifyour informationisunchanged.

Prefix (example: Dr.) / First Name / Middle Nameor Initial
Family Name (example: Darlington-Tiller) / Suffix (example: Jr.)
Address 1 (example: 1014 South Michigan Avenue)
Address 2 (example: Suite 107-A)
Address 3 – Urbanization (example:Urb: Marbella)
City / State / Province / District (example: Quebec)
Country (example: Canada, Australia, etc.) / ZIP / Postal Code
Primary Phone / Extension / Type
__Office __Mobile __Home
Alternate Phone / Extension / Type
__Office __Mobile __Home
Second Alternate Phone / Extension / Type
__Office __Mobile __Home
Fax (Facsimile) Number
Preferred Email (required for business communication with NSPF)
Alternate Email
SMS Text Messages
(Enter your mobile phone number to receive text messages from NSPF. No more than 4 times per month.)
Preferred Language / Additional Language / Additional Language
So we may better serve you, please identify the type of classes you teach.
__Public / __Private (your organization only) / __Both
Would you be willing to co-teach a certification class with another NSPF Instructor? > / __Yes __No
Do you offer certification training under …
__Your name (example: Eugenio Espejo / __a business name owned by you (ex: Awesome Pools of The Levant) / __an organization in which you are an employee (example: Chamsin Chemical Corp. Ltd.)
Which best describes your organization or employer?
__Aquatic Instructor / Coach
__Builder
__Consultant / Expert Witness
__Distributor
__Health Club / Aquatic Facility
__Health Official
__Hotel / Resort / __Manufacturer
__Parks & Recreation
__Real Estate / Property / Apartment Management
__Retail / Service Company
__Theme Park / Water Park
__University / College Staff Member
__Other (describe):
If you are a health official, in which segment of government do you serve?
(If you are not a health official, please leave blank.)
__State / Province / __County / __Other: ______
If operating under your name, complete the following sections
only if your shipping address is different from your mailing address.
What is the official name of your organization? (example: Sai Aqua Infrastructures (I) Pvt Ltd.)
Address 1 (example: 500 West Madison Street)
Address 2 (example: Suite 3100)
Address 3 – Urbanization (example: Colonia Petrolera)
City / State / Province / District (example: Quintana Roo)
Country (example: Japan, Ecuador, Ukraine, etc.) / ZIP / Postal Code
Organization’s Web Site Address (example:
Main Phone Number / Alternate Phone Number / Fax (Facsimile) Number
Help our staff know you better. Please write a short biography of yourself describing what you do, how long you have been in your position, and something personal of which you are proud, like “I raise and train horses.”
We would appreciate receiving a personal photograph of each instructor so our staff can “see” you when providing service. These will only be used internally at NSPF and will never be distributed outside our offices. Please send an electronic file (JPG, TIFF, BMP, etc.) to and put ‘Photo’ in the subject line. /