This form is for MAIL-IN registrations only. Do not email this form. To register for events and exams online, please refer to the events calendar and follow the on-line registration links on the specific event page.
Waiver Request Form
If you are unable to fulfill your education requirements for the current season, you may be eligible for a waiver. Please complete this on-line Waiver Request Form. If there is a medical reason for your inability to complete education requirements please attach a signed letter from your physician to the appropriate form.
Reinstatement Request Form
Use to request reinstatement of your membership and/or certification.
Non-ASEA Education Credit Request
A member should submit a Non-PSIA-AASI Education Event Credit Request form to the PSIA-AASI Central Division office at least 30 days before the event to obtain advance approval to participate in the event for PSIA-AASI Central education credit. The request must be accompanied by an applicable Non-PSIA-AASI event administration fee, which includes a nonrefundable processing fee. Printed material (e.g. flyer, brochure, etc.) provided by the educational organization that describes the program and gives information concerning the dates the program is offered, program fees, etc., must also be provided. After participating in the education event, the member must return a completed Non-PSIA-AASI Education Event Attendance Verification form signed by an official of the sponsoring organization in order to receive PSIA-AASI Central education credit for the current season and the following season. (pg. 14-15 of the Policies and Procedures)
Liability and Photographic Release Forms
Photo Release Form (85.6 KB)
Liability Release Form 17-18 Season (745.9 KB)