AFFIDAVIT

This form

must be completed within 2 weeks after attending the accredited program or credit will not be given.
• To fulfill PSA-rated continuing education requirements, a rated professional must acquire 28 educational credits in a three-year period to keep his/her ratings active. (E.g. 2017, 2018, 2019 — 28 credits)
• If you have passed the Basic Accreditation (BA) written exam or the Foundations of Coaching Course (FCC), you are considered rated.

I ATTENDED/COMPLETED PSA PROGRAM:

PRE-APPROVED PROGRAM:
Please email a copy of your agenda/schedule to affidavit@skatepsa.com

• A combined maximum of 16 credits are allowed in a three-year period for ISI and/or U.S. Figure Skating events

ISI Event
U.S. Figure Skating
• Maximum of eight credits are allowed in a three-year period

USOC, ISU or other event
Held In:

I am claiming the following number of PSA educational credits:




By checking this box I certify that the information is true and correct: