PSAA Classification/Change of Information Form

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Please Note: You must be a current PSAA member in good standing to fill out this form to receive an official PSAA Classification Card.
Classification must be completed by a club representative at a current PSAA Club in good standing.

** Email Address if for the member that is classifying.**

Email *

PSAA Club Issuing Card: *

Name of Club Representative Completing Classification *

This must be a current PSAA member. By placing your name below, you are verifying that, to your knowledge, the information is accurate and the classification was completed in accordance with PSAA rules and regulations.

Club Code *

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