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2023 BC WHEELCHAIR SPORTS ASSOCIATION ANNUAL GENERAL MEETING

PROXY


This proxy is solicited on behalf of the BC Wheelchair Sports Association. It is intended to give BCWSA members in good standing an opportunity to vote in absentia on issues on the Agenda at the Association’s Annual General Meeting.

Proxies shall be completed online by filling out this form, be filled in writing and sent to BCWSA, 780 SW Marine Drive, or emailed to coordinator@bcwheelchairsports.com, or presented to the Board by a designated carrier, at least 2 business day prior to the 2023 Annual General Meeting. The proxy empowers one of the members, in good standing, designated by you, to cast one vote on each issue on your behalf.

DATE:

Thursday, September 28, 2022

TIME:

6:00pm

PLACE:

Zoom

780 SW Marine Drive Vancouver BC 

*** If you would like to participate in the the AGM remotely, please notify Matt at coordinator@bcwheelchairsports.com for info*** 


First Participant's Name

First Name*

Last Name*
First Participant's Age Acknowledgment*
First Participant's Date of Birth*
I certify that I am 19 years of age or older
First Participant's Information



I, the undersigned, a 2022 member in good standing of the BC Wheelchair Sports Association, hereby appoint: 



Name:

or


Name:

or


Name

to vote on my behalf at the Annual General Meeting of the BC Wheelchair Sports Association. 

First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Second Participant's Information



I, the undersigned, a 2022 member in good standing of the BC Wheelchair Sports Association, hereby appoint: 



Name:

or


Name:

or


Name

to vote on my behalf at the Annual General Meeting of the BC Wheelchair Sports Association. 

Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Third Participant's Information



I, the undersigned, a 2022 member in good standing of the BC Wheelchair Sports Association, hereby appoint: 



Name:

or


Name:

or


Name

to vote on my behalf at the Annual General Meeting of the BC Wheelchair Sports Association. 

Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Information



I, the undersigned, a 2022 member in good standing of the BC Wheelchair Sports Association, hereby appoint: 



Name:

or


Name:

or


Name

to vote on my behalf at the Annual General Meeting of the BC Wheelchair Sports Association. 

Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Information



I, the undersigned, a 2022 member in good standing of the BC Wheelchair Sports Association, hereby appoint: 



Name:

or


Name:

or


Name

to vote on my behalf at the Annual General Meeting of the BC Wheelchair Sports Association. 

Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Information



I, the undersigned, a 2022 member in good standing of the BC Wheelchair Sports Association, hereby appoint: 



Name:

or


Name:

or


Name

to vote on my behalf at the Annual General Meeting of the BC Wheelchair Sports Association. 

Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Information



I, the undersigned, a 2022 member in good standing of the BC Wheelchair Sports Association, hereby appoint: 



Name:

or


Name:

or


Name

to vote on my behalf at the Annual General Meeting of the BC Wheelchair Sports Association. 

Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Information



I, the undersigned, a 2022 member in good standing of the BC Wheelchair Sports Association, hereby appoint: 



Name:

or


Name:

or


Name

to vote on my behalf at the Annual General Meeting of the BC Wheelchair Sports Association. 

Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Information



I, the undersigned, a 2022 member in good standing of the BC Wheelchair Sports Association, hereby appoint: 



Name:

or


Name:

or


Name

to vote on my behalf at the Annual General Meeting of the BC Wheelchair Sports Association. 

Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Information



I, the undersigned, a 2022 member in good standing of the BC Wheelchair Sports Association, hereby appoint: 



Name:

or


Name:

or


Name

to vote on my behalf at the Annual General Meeting of the BC Wheelchair Sports Association. 

Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Age Acknowledgment*
Parent or Guardian's Date of Birth*
I certify that I am 19 years of age or older
Parent or Guardian's Information



I, the undersigned, a 2022 member in good standing of the BC Wheelchair Sports Association, hereby appoint: 



Name:

or


Name:

or


Name

to vote on my behalf at the Annual General Meeting of the BC Wheelchair Sports Association. 

Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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