Junior Competition License Exemption Request Form
Please complete this form to request an exemption from the junior competition license requirement. Ensure all information is accurate and complete.
Applicant's Full Name
*
First Name
Last Name
Date of Birth
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Applicant's Email Address
*
example@example.com
Applicant's Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Competition/Event Name
*
Competition/Event Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Reason for Exemption Request
*
Upload Supporting Documentation (if applicable)
Upload a File
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