Burnaby Men’s Soccer Association

7795 Allman Street, Burnaby, B.C.

V5E 2A9 604/525-8481

bmsa@shaw.ca

 

Player Membership Application

 

Team Name: _______________________                          Date: _________________

 

I, _______________________________________, hereby apply for membership in the

                          Print full name clearly

Burnaby Men’s Soccer Association [B.M.S.A.]. Hereafter called the ASSOCIATION.

 

I understand and fully agree as part of my application for membership in the Association to the following conditions: [Subject to acceptance by the Associations Directors]

a)      To uphold and abide by the Constitution and Rules and Regulations of the Association.

b)      To swear that I am NOT currently registered and/or playing with any other B.C. Soccer Association affiliated team or league during the B.M.S.A. season.

c)      To pay when due, any membership fee’s when established by the Directors of the Association.

d)      My application for membership in the Association is subject to approval by the Directors of the Association and is valid until such time as it is revoked by the Association.

e)      I waive any liability against the Association or its Directors and any appointed representatives, agents or any game officials be they referees, assistant referees, fourth official [or serving in any other official capacity] while attending any of the Associations events, sporting events, or any other sanctioned activities by the Association.

f)        The Directors reserve the right to revoke the membership of any member who has been deemed to have failed to abide and uphold the Associations Constitution or its Rules and Regulations or be negligent in their financial obligations to the Association.

g)      I must be a member [in good standing] of the Association to be eligible to play in any of the Associations sanctioned sporting events.

 

DATED THIS __________________________ DAY OF ________________ 200__

 

AT: ___________________________________ B.C.

 

                           _____________________________________

                                                                           Members Signature

 

APPROVED BY:                   _____________________________________

                                                                 On Behalf of the Association

 

APPLICATION DENIED:   _____________________________________

                                                                   On Behalf of the Association

Burnaby Men’s Soccer Association

7795 Allman Street, Burnaby, B.C.

V5E 2A9 604/525-8481

bmsa@shaw.ca

 

 

 

FORM of PROXY

 

 

 

The undersigned, being a member in good standing of the BURNABY MEN’S SOCCER ASSOCIATION [The Association] appoints:

 

__________________________________ ;

             Name of Team Manager

 

Or: ______________________________ as a proxyholder for the undersigned at the:                       Alternate

 

 

                                    _____  Annual General Meeting

 

                                    _____  Extraordinary General Meeting

 

                                    _____ ________________________

                                                                Other

 

 

Of the Association to be held on the __________ of _______________  200__ and at                                                                      Day                           Month

 

any adjournments or adjournments thereof.

 

 

                                                NAME of MEMBER

 

 

                                    ___________________________________

                                                             Print Name           

 

 

                                    ___________________________________

                                                              Signature