Fitness Leader - Leave of Absence Application

This application form will allow you to apply for a maximum of one year of parental or medical leave and will put a hold on your BCRPA Fitness Leader registration. Please note that your registration will show as expired for the duration of your leave. Upon the conclusion of your leave, please email us to reinstate your registration. Please read the Terms and Conditions of Parental or Medical Leave listed at the bottom of the application form before submitting.

Please note there is a 3-5 business day processing period and upon application approval, you will receive an email from BCRPA.

2. Please provide your contact and Fitness Leader information *This question is required.

First Name
Last Name
Email Address (as listed on the Registry®)
BCRPA Fitness Leader ID Number

3. Requested period for parental leave (please list the day, month, and year) *This question is required.

Start Date
End Date
Expected Delivery Date

3. Requested period for medical leave (please list the day, month, and year) *This question is required.

Start Date
End Date
Expected Return to Work Date

3. Please upload a copy of the doctors note confirming the need of medical leave

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Terms and Conditions:

I confirm that I am eligible for a one-year parental or medical leave and will be taking this leave during the dates noted above.
I understand that my BCRPA registration will be listed as “Expired” for the duration of my leave and as such, I will be unable to practice as a BCRPA Registered Fitness Leader for that time.
I understand that if I practice as a Fitness Leader during my leave, I will not be covered by my group liability insurance.
If I choose not to return to Fitness Leadership, I understand that my registration fees will not be refunded.
I understand that upon my return, my registration will have a new expiry date and it is my responsibility to note this new expiry date.
I understand that upon my return, my CPR and First Aid must be up-to-date and that I will need to complete my regular renewal requirements before my new registration expiry date.

By submitting this application form you agree to the above Terms and Conditions.