Junior Competition License Exemption Request Form

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 NameLast Name
Date of Birth
MonthDayYear
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
MonthDayYear
Date
Reason for Exemption Request
Upload Supporting Documentation (if applicable)
Cancelof
Should be Empty: