2023 HOD Emergency Delegation Change FormSubmit one form per change.

Submitter Name (Participant, County or Component Leader)*

Submitter Email Address*

Submitter Phone Number

Please provide us with the phone number for contact on October 28th.

I affirm these changes have been approved by the County/Component I am representing (when required).

I wish to change:*

Select or enter value

Send me a copy of my responses