Last-Chance Qualifier Fee Appeal Form Use this form to appeal fees accrued through Nationals, registration, and tournaments. Name* First Last School*State* AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Advisor Name*Email* Name of judge who incurred fee*Please Note You must fill out a separate form for each fee waiver being requestedTotal fee requesting to be waived*Date fee was incurred*Enter the date of fee being requested. Date Format: MM slash DD slash YYYY Reason requesting appeal*