Athlete Change Request Form

Athlete Change Request Form

2026 USAPL Classic City Clash
Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
WithdrawAge DivisionWeight ClassSubmit Membership #Other
Membership Number*
MaleFemale
Weight Class in KG (Female)*
Weight Class in KG (Male)*
AddingChanging
Age Division*
Please note that there are no refunds.

If you would like to add an additional division, you will be invoiced $35.
Questions, comments, concerns
Signature (if you are under 18 years old, please review the changes with your legal guardian and have them sign off)*

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