Download PSIA/AASI-W Forms & Applications

Forms are available as word documents and PDF's. The word document option allows you to type-in your information. If this is not possible, you can write-in your details.

Fax or mail to:

PSIA/AASI-W 9709 Hwy 267, Truckee, CA 96161.
Fax: (530) 587-4273.
Please, no telephone registration

Education & Certification Event Forms:

Event Registration Form

Membership and Dues Forms:

In-House Certification & Registered Membership Form pdf

New Membership and Dues Form
New Membership and Dues Form

Membership Dues Renewal Form
Membership Dues Renewal Form

Membership Reinstatement form
Membership Reinstatement Form

Order Merchandise from Western Division:

Western Merchandise Form
Western Merchandise Form

Specialty Forms:

Education Event Request Form - Word Doc.
[To apply for education credits from a non-psia/aasi event]

Clinician Forms:

Release of Liability pdf
Expense Form pdf
Event Summary Form pdf
Accident Report pdf
Event Leader Instructions pdf
Event Feedback Sheet pdf

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