Application for PSIA-AASI Western XC Member Schools 1 Member School Information2 Key Staff and Trainers3 Member School Clinics and Dues Member School/Resort InformationMember School/Resort Name*Member School Director* First Last Director Email* School Director Phone*School Mailing Address*Address where all PSIA-AASI mail should be sent. Please include a physical address for UPS/FedEx and address/PO Box for US Mail. Street Address Address Line 2 City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Member School Phone*School Fax # Key Supervisor or TrainerPlease list your key staff or trainerName First Last Email Other KeystaffPlease list name, email and psia/aasi number if availableTrail Pass Ticket Office Contact First Last Email PhoneTrail Pass Price for PSIA/AASI Events Member School ClinicsWe can be a partner in training/onboarding of your staff. Schedule your Member School Clinics early! Take advantage of out team to help your new hires or returning staff get ready for the season.Member School Clinic DatesList the Dates and Requested Clinician for your Member School Clinic. Black out dates: Dec. 22nd - Jan. 2nd and Presidents WeekDateClinician Member School Clinic Topics List your Member School Clinic TopicMembership Type and PaymentXC Membership*$210.00Membership will include: One member school clinic/education event at your resort (must be used by the end of the season); Attendance to other scheduled XC member school clinics held at other resorts; One free attendee at XC Clinician/Examiner Training (must be Level 3 certified); One PSIA Technical Manual, XC or Telemark.National Membership Dues*$40Total $0.00 Payment Method*OnlineCheckIf paying by check please make check payable to PSIA-AASI and mail to: PSIA-AASI Western Division9709 Hwy 267, Suite B Truckee, CA 96161Member School Director's Signature*I have read and understand the member school standards as established by PSIA-AASI and agree to these standards.