About Us
Our Mission & Impact
Adaptive Sports Research
Our Team
Annual Reports & Financials
Adaptive Sports Awards
History
Sponsors
Contact Us
Sports
Adaptive Sports
Adaptive Equipment
Our Athletes
USA Wheelchair Football League
Expansion Team Interest
Player Interest
Training & Resources
Move United Adaptive Shooting League
World Abilitysport
Locations
Events
View All Events
2025 Move United Education Conference
Nationals
Sanctioned Competitions
About Move United Sanctioned Competitions
Benefits of Sanctioning with Move United
2025 Sanctioned Competitions Calendar
Host a Sanctioned Competition
The Hartford Ski Spectacular
Congressional Charity Golf Classic
Honoring America’s Wounded Warfighters Gala
Add an Event
Warfighters
Apply for the Warfighters Program
Resources
Events
Warfighters Ambassador Program
Education
Education Hub
Move United Inclusive Playbook
2025 Move United Education Conference
Membership
Become a Member
Member Organization Grants
Program Description
How To Apply
Grant Report
FAQ
Insurance
Request Certificate of Insurance
Incident Report Form
Move United – Insurance Policy Descriptions
Sport Protection
Member Requirements
Move United Sport Protection Policy
Sport Protection Policy Templates
Sport Protection Reporting
Training and Screening Resources
Banned Members
Sport Protection FAQ
Resources
Get Involved
Become an Athlete
Become a Member
Adults
Youth
Youth Grants
Warfighters
Apply for the Warfighters Program
Resources
Find Events
Warfighters Ambassador Program
Volunteer
Inclusion Resources
Employment Opportunities
Shop at our store
Join an Event
DONATE
Shop our Store
Donate
About Us
Our Mission & Impact
Adaptive Sports Research
Our Team
Annual Reports & Financials
Adaptive Sports Awards
History
Sponsors
Contact Us
Sports
Adaptive Sports
Adaptive Equipment
Our Athletes
USA Wheelchair Football League
Expansion Team Interest
Player Interest
Training & Resources
Move United Adaptive Shooting League
World Abilitysport
Locations
Events
View All Events
2025 Move United Education Conference
Nationals
Sanctioned Competitions
About Move United Sanctioned Competitions
Benefits of Sanctioning with Move United
2025 Sanctioned Competitions Calendar
Host a Sanctioned Competition
The Hartford Ski Spectacular
Congressional Charity Golf Classic
Honoring America’s Wounded Warfighters Gala
Add an Event
Warfighters
Apply for the Warfighters Program
Resources
Events
Warfighters Ambassador Program
Education
Education Hub
Move United Inclusive Playbook
2025 Move United Education Conference
Membership
Become a Member
Member Organization Grants
Program Description
How To Apply
Grant Report
FAQ
Insurance
Request Certificate of Insurance
Incident Report Form
Move United – Insurance Policy Descriptions
Sport Protection
Member Requirements
Move United Sport Protection Policy
Sport Protection Policy Templates
Sport Protection Reporting
Training and Screening Resources
Banned Members
Sport Protection FAQ
Resources
Get Involved
Become an Athlete
Become a Member
Adults
Youth
Youth Grants
Warfighters
Apply for the Warfighters Program
Resources
Find Events
Warfighters Ambassador Program
Volunteer
Inclusion Resources
Employment Opportunities
Shop at our store
Join an Event
DONATE
Our Mission & Impact
Our Team
Annual Reports & Financials
Adaptive Sports Awards
History
Sponsors
Contact Us
Adaptive Sports Research
Adaptive Sports
Adaptive Equipment
Our Athletes
USA Wheelchair Football League
Move United Adaptive Shooting League
World Abilitysport
Expansion Team Interest
Player Interest
Training & Resources
View All Events
2025 Move United Education Conference
Nationals
Sanctioned Competitions
The Hartford Ski Spectacular
Congressional Charity Golf Classic
Honoring America’s Wounded Warfighters Gala
Add an Event
About Move United Sanctioned Competitions
Benefits of Sanctioning with Move United
2025 Sanctioned Competitions Calendar
Host a Sanctioned Competition
Apply for the Warfighters Program
Resources
Events
Warfighters Ambassador Program
Education Hub
Move United Inclusive Playbook
2025 Move United Education Conference
Become a Member
Member Organization Grants
Insurance
Sport Protection
Resources
Program Description
How To Apply
Grant Report
FAQ
Request Certificate of Insurance
Incident Report Form
Move United – Insurance Policy Descriptions
Member Requirements
Move United Sport Protection Policy
Sport Protection Policy Templates
Sport Protection Reporting
Training and Screening Resources
Banned Members
Sport Protection FAQ
Become an Athlete
Become a Member
Adults
Youth
Warfighters
Volunteer
Inclusion Resources
Employment Opportunities
Shop at our store
Join an Event
DONATE
Youth Grants
Apply for the Warfighters Program
Resources
Find Events
Warfighters Ambassador Program
Shop our Store
Donate
About Us
Our Mission & Impact
Adaptive Sports Research
Our Team
Annual Reports & Financials
Adaptive Sports Awards
History
Sponsors
Contact Us
Sports
Adaptive Sports
Adaptive Equipment
Our Athletes
USA Wheelchair Football League
Expansion Team Interest
Player Interest
Training & Resources
Move United Adaptive Shooting League
World Abilitysport
Locations
Events
View All Events
2025 Move United Education Conference
Nationals
Sanctioned Competitions
About Move United Sanctioned Competitions
Benefits of Sanctioning with Move United
2025 Sanctioned Competitions Calendar
Host a Sanctioned Competition
The Hartford Ski Spectacular
Congressional Charity Golf Classic
Honoring America’s Wounded Warfighters Gala
Add an Event
Warfighters
Apply for the Warfighters Program
Resources
Events
Warfighters Ambassador Program
Education
Education Hub
Move United Inclusive Playbook
2025 Move United Education Conference
Membership
Become a Member
Member Organization Grants
Program Description
How To Apply
Grant Report
FAQ
Insurance
Request Certificate of Insurance
Incident Report Form
Move United – Insurance Policy Descriptions
Sport Protection
Member Requirements
Move United Sport Protection Policy
Sport Protection Policy Templates
Sport Protection Reporting
Training and Screening Resources
Banned Members
Sport Protection FAQ
Resources
Get Involved
Become an Athlete
Become a Member
Adults
Youth
Youth Grants
Warfighters
Apply for the Warfighters Program
Resources
Find Events
Warfighters Ambassador Program
Volunteer
Inclusion Resources
Employment Opportunities
Shop at our store
Join an Event
DONATE
Move United
/
Events
/
Junior Nationals
/
Junior Nationals Support Team
Junior Nationals Support Team
Please complete the form below:
2021 Junior Nationals Support Team
Name
*
First
Last
Email
*
Phone
*
Address
*
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Role at Junior Nationals *Check all that apply
*
Classifier
National Official
Local Official
National Volunteer Support Team
Local Organizing Committee Member
Sport you will officiate
*
Shirt Size
*
Women's Small
Women's Medium
Women's Large
Women's X-Large
Women's XX-Large
Men's Small
Men's Medium
Men's Large
Men's X-Large
Men's XX-Large
Men's XXX-Large
I would prefer to room:
*
Alone
With a roommate
N/A
Due to Covid-19, in 2021 we are offering you the opportunity to room alone or with a roommate.
By the start of Junior Nationals, will you have been fully vaccinated?
*
Yes
No
Do you have any food allergies or considerations? If so, please list.
DEI Information
Gender
*
Female
Male
Non-Binary
Prefer to self-describe
Prefer not to say
Pronouns
She/Her/Hers
He/Him/His
They/Them/Theirs
Not listed
Prefer not to say
Pronouns self-described
Race
*
White
Black or African American
American Indian or Alaska Native
Asian
Native Hawaiian or other Pacific Islander
Not listed
Prefer not to say
Specify Origin: (example Chinese; Indian; Afghan; Filipino; Iranian; etc.)
*
Specify Origin:
*
I identify as being of Hispanic, Latino or Spanish Origin:
*
No, not of Hispanic, Latino, or Spanish origin
Yes, I am of Hispanic, Latino, or Spanish origin
Specify Origin (example Mexican, Puerto Rican, Cuban, Dominican, Colombian, Spaniard, Ecuadorian, etc.)
*
Do you consider yourself a member of the Lesbian, Gay, Bisexual, Transgender and/or Queer (LGBTQIA+) community?
*
Yes
No
Prefer not to say
Disability
*
Acquired Brain Injury (Traumatic or Non-Traumatic)
Blind or Low Vision
Cognitive/Intellectual or Specific Learning Disability (Including Autism, Down Syndrome, Severe ADD/ADHD, Nonverbal Learning Disability)
Deaf or Hard of Hearing
Dwarfism or Short Stature
Mobility Impairment and/or Limb Loss/Deficiency (including SCI, Spina Bifida, Transverse Myelitis, Amputation, Cerebral Palsy)
Neuromuscular (Including Amyotrophic Lateral Sclerosis ALS, Charcot-Marie-Tooth disease, Multiple Sclerosis, Muscular Dystrophy, Nerve Damage, Polio, PTS, Stroke)
Not Listed
I do not identify as having a disability
Prefer not to say
Disability
*
Required Forms and Certificates
In addition to attaching the items below, please complete the Move United Liability Waiver and Media Release at https://bit.ly/3dfX2Eh.
Signed Code of Conduct
*
Accepted file types: pdf, jpg, Max. file size: 64 MB.
Signed Travel Policy
Accepted file types: pdf, jpg, Max. file size: 64 MB.
SafeSport Certificate *Dated within 1 year of today's date
Accepted file types: pdf, jpg, Max. file size: 64 MB.