Petition for Category Placement Exception    

 

Submit this form via Email: [email protected] download form, fill out, save as rider name. First Name

Last Name

League

Team

Sex

Age

Grade

Student E-mail

*Coach’s E-mail

Parent Name

Parent Phone

What exception are you petitioning for?

Assigned Category (check one) ! Freshman

! Sophomore

Petitioning Category (check one) ! JV

! Varsity

! Fresh

! Soph

! JV ! Varsity

List all your non-League races and results for this last season. You may attach a resume.

List any other reasons or circumstances that argue in favor of an exception.

*Coach’s recommendations and comments

Coach’s Name/Phone

Coach’s Signature/Date

Athlete’s Signature/Date

*Coach should be the head coach of your team. If you don’t have a coach then contact your respective league director and a coaching advisor will be assigned. An adult or parent who is involved with the athlete’s cycling progress may be appointed as that advisor.