Junior Nationals Support Team

Move United / Events / Junior Nationals /

Please complete the form below:

Name*
First Last
Email*
Phone*
Address*
Street Address City 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*
I would prefer to room:*
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?*
Do you have any food allergies or considerations? If so, please list.
DEI Information
Gender*
Pronouns
Pronouns self-described
Race*
Specify Origin: (example Chinese; Indian; Afghan; Filipino; Iranian; etc.)*
Specify Origin:*
I identify as being 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?*
Disability*
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.

DEI Information