CTCA CERTIFIED BREAKER PROGRAM

Certified Breaker Application

Complete this initial application to begin your review by the CTCA team. Approved applicants advance to training and certification.

Contact Information

First Name*

Last Name*

Email Address*

Phone Number

Breaking Business

Business / Breaker Name*

Website

Platforms You Break On (select all that apply)

Platform Handles / Links

Experience & Operations

Years Breaking

Break Frequency

Break Formats (select all that apply)

Are you a CTCA Industry Member?

How did you hear about the CTCA?

Applicant Statement

Why do you want to become a CTCA Certified Breaker?*

I agree to uphold the CTCA Certified Breaker Code of Conduct and confirm the information provided in this application is accurate. I understand this application is for initial review and does not guarantee certification.