Board/Executive Nomination Form

Nominee Details

Positions are for the 2026 Season

Question Title

* 1. Full Name

Question Title

* 2. Address:

Question Title

* 3. Phone

Question Title

* 4. Email

Question Title

* 5. FA Number (if applicable):

Question Title

* 6. Please indicate who is submitting this nomination

I am nominating myself

I am nominating someone else