BC Athletics

Delegate Registration
BC Athletics Annual General Meeting

All fields in red marked with * are required. Use na for any required fields that are not applicable. If you leave required fields blank an alert will pop up indicating which info is missing.

A confirmation of your submission will be emailed to you using the address you provide. The confirmation will include instructions on how to make corrections.

*Name of Club  
*Submitted by CLUB PRESIDENT OR MEMBER
OF THE EXECUTIVE
*Email AUTOMATIC CONFIRMATION EMAIL
WILL BE SENT TO THIS ADDRESS
*Position held in club PRESIDENT, VICE-PRESIDENT, ETC.
*Total # of votes held by club  
 
 Delegate 1
*Delegate Name  
*2012 BCA#  
*Phone WITH AREA CODE xxx-xxx-xxxx
*Email  
*Voting status   If Voting, number of votes held
If no more delegates, click here to skip to end of form.
 Delegate 2
Delegate Name  
2012 BCA#  
Phone WITH AREA CODE xxx-xxx-xxxx
Email  
Voting status   If Voting, number of votes held
If no more delegates, click here to skip to end of form.
 Delegate 3
Delegate Name  
2012 BCA#  
Phone WITH AREA CODE xxx-xxx-xxxx
Email  
Voting status   If Voting, number of votes held
If no more delegates, click here to skip to end of form.
 Delegate 4
Delegate Name  
2012 BCA#  
Phone WITH AREA CODE xxx-xxx-xxxx
Email  
Voting status   If Voting, number of votes held
If no more delegates, click here to skip to end of form.
 Delegate 5
Delegate Name  
2012 BCA#  
Phone WITH AREA CODE xxx-xxx-xxxx
Email  
Voting status   If Voting, number of votes held
If no more delegates, click here to skip to end of form.
 Delegate 6
Delegate Name  
2012 BCA#  
Phone WITH AREA CODE xxx-xxx-xxxx
Email  
Voting status   If Voting, number of votes held
If no more delegates, click here to skip to end of form.
 Delegate 7
Delegate Name  
2012 BCA#  
Phone WITH AREA CODE xxx-xxx-xxxx
Email  
Voting status   If Voting, number of votes held
If no more delegates, click here to skip to end of form.
 Delegate 8
Delegate Name  
2012 BCA#  
Phone WITH AREA CODE xxx-xxx-xxxx
Email  
Voting status   If Voting, number of votes held
If no more delegates, click here to skip to end of form.
 Delegate 9
Delegate Name  
2012 BCA#  
Phone WITH AREA CODE xxx-xxx-xxxx
Email  
Voting status   If Voting, number of votes held
If no more delegates, click here to skip to end of form.
 Delegate 10
Delegate Name  
2012 BCA#  
Phone WITH AREA CODE xxx-xxx-xxxx
Email  
Voting status   If Voting, number of votes held
 
I am a member of the Board of Directors
of the club indicated above:
AGREE

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