Request for classification

Request for classification

Please complete the below form. You will be given access to a personal DropBox folder where you will upload the necessary medical files.
Name*

First NameLast Name
Date of Birth

MonthDayYear
Date
Are you under 18

YesNo
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
I have had a physician complete and sign the Medical Documentation for Athletes with Physical Impairments, or the Medical Documentation for Athletes with Visual Impairments, as applicable.

YesNo
Please share if there is a date or event that you need to be classified for.
After submitting this form and confirming you have medical documentation prepared, you will receive a link to a secure Dropbox folder where you will upload all medical documents for classification review. These documents must be submitted 45 days (60 days for international competition) prior to the event at which you intend to compete in a Para event to allow time for internal review and possible requests for further documentation. Thank you!
Parent/Gaurdian Name

First NameLast Name
Parent/Gaurdian Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent Gaurdian Email
example@example.com
Parent/Gaurdian Phone number
Please enter a valid phone number.
Should be Empty: