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RISC Recertification Application
Name
(Required)
First
Last
Company
(Required)
Address
(Required)
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Email
(Required)
Cell Phone
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Current RISC #
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I agree to act in compliance with NPCAI's Rules and Regulations
(Required)
I agree
I do not agree
I agree to act in compliance with NPCAI's Code of Conduct
(Required)
I agree
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I attest that I have not been convicted of or pled guilty, or no contest, to a felony related to domestic violence or acts of violence against minors
(Required)
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No
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Year's Certified
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Date Certified
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Date Expires
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Course Date
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Recertification Options
(Required)
Please choose one of the options below to renew your certification. Further instructions will be provided after your renewal form is submitted and processed.
Online Exam ($300)
CEU Submission ($150)
Total
Payment Type
(Required)
Secure Online Payment
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Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number
Expiration Date
Month
Month
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04
05
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07
08
09
10
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12
Year
Year
2026
2027
2028
2029
2030
2031
2032
2033
2034
2035
2036
2037
2038
2039
2040
2041
2042
2043
2044
2045
Security Code
Cardholder Name
When submitting a check:
Please make checks payable to
NATIONAL PLAYGROUND CONTRACTORS ASSOCIATION
Send checks to:
2207 Forest Hills Drive, Harrisburg, PA 17112
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To Activate the Button, please type the word Certified.
