Player Classification Protest Form

Date: _________________________

Athlete being protested: ____________________________________________________________

Protested athletes team affiliation: ____________________________________________________

Current Classification
Please circle one of the following: .5 1.0 1.5 2.0 2.5 3.0 3.5

Reason(s) for protest (Use additional paper, if necessary): _____________________________________

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• Please return $50.00 protest fee with this completed form to the USQRA Commissioners Office
• If protest is filed at Regionals, Sectionals or Nationals, please return this form and protest fee to the Classifier at the tournament.
• Protest fee will be refunded if protest is ruled in favor of individual/team protesting.

Office use only

Has this player been protested before? Yes No If yes, date:
Classification Panel: ___________________________________________________________________

Original Classification Date: ___________ Current Protest Date: ___________
1) Classifier 1) Head Classifier
2) Classifier 2) Classifier
3) Classifier 3) Classifier

PBC-Player/Coach
RAC/BOD Representative

Classification Ruling: Stands (Classification: ) Overturned (Classification: )

Reasons: ____________________________________________________________________________

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Fee Status: _____ Returned to protester ___/___/___
_____ Returned to RAC/Commissioner ___/___/___