Athletic Citation Request

I’m happy to be able to honor, recognize and celebrate the milestones of individuals, organizations and teams who are in and/or serve my district, through awarding legislative citations.

My office accepts citation requests at all times, but please allow three to four weeks prior to an event for a request to be processed. If a citation is needed in two weeks or less, please give my office a call to ensure appropriate arrangements are made. While we do try our best, we cannot guarantee a citation will be available by a certain date. For any questions, please contact my office.


General Information

Full name of the Person, Team or Organization to be cited. *

Street Name *

City *

State *

Zip *

Phone Number (with Area Code) *


How would you like the Representative to present this citation?

Preferred Date *

Preferred Time *

Preferred Location *


Athletic Information

Sport *

Team or Organization Name *

Roster (if applicable)

School District and School Name (if applicable)

Specific Award or Accomplishment *

Contact Information

Additional Notes