Application for PSIA-AASI Western Member Schools 1Member School Information2Key Staff and Trainers3Member School Clinics and Dues Member School & Resort InformationMember School/Resort Name*Member School Director* First Last School Director Email* School Director Phone*Member School Mailing Address* Mailing Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Member School Phone*Resort/School LogoAttach an updated logo or other documents you wish for us to keep in your file. Drop files here or Select files Accepted file types: jpg, png, Max. file size: 1 MB, Max. files: 2. Key Supervisors or TrainersPlease list your key staff or trainersFirst NameLast NamePhoneEmailPSIA-AASI Member # (if available) Ticket Office ContactName First Last Email PhoneParticipant Lift Ticket Price for PSIA-AASI EventsMember Lift Ticket Price for NON PSIA-AASI Events Member School Director's Signature*I have read and understand the member school standards as established by PSIA-AASI and agree to these standards.Date* MM slash DD slash YYYY
