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Register

If you are not already involved with PCSRA and would like to be, please complete the following form and click the "Register" action. Be sure to enter your birthdate, (mm/dd/yyyy), USSF Grade (9, 8 or 7) and year (2024 or 2025), and RMA clearance number (if known) and RMA expiration date.

Register for participation with PCSRA
First Name		Last Name
Address
City		State, Zip	,
PrimaryPhone		PrimaryEmail
Home		Email1
Work		Email2
Cellular		Gender
Birthdate	mm/dd/yyyy	Tax Info...
USSF	Grade: Year:
Notes
Action

Please enter in the Notes field a brief description of your background, which Licensing clinic you attended (for new Referees), etc. and any other information that will help us establish you as a Participant within PCSRA.