2024 Special Consideration Application Form

Enter your email address*

This form is to be used for those requesting a Special Consideration letter to be presented to the adjudicator at competitions in 2024.

Details of this process can be found on the CaliVic website - https://www.revolutionise.com.au/calivic/hub/exemptions/

Forms must be submitted a minimum of 2 weeks prior to competition.

Club*

Club Administrator Name*

Club Administrator Email*

Performer Date of Birth*

Performer Full Name*

Reason for Request*

Please give a brief outline of reason for application

Supporting Documentation

Eg. medical documentation

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Max 5MB