DECLARATION BY MEMBER
As a member of the association, I hereby understand that:
I must not undertake any appointment as a referee, assistant referee or fourth official unless such appointment is made or approved by the association beforehand;
Any monies (other than membership fees) which are owing by me to the association may be automatically deducted by the Treasurer from any match fees owing to me for officiating as a referee, assistant referee or fourth official; and
By signing and returning this form, I agree to comply with the Constitution of the Association, including the Code of Conduct at all times.
SIGNATURE BY MEMBER:
SIGNATURE BY PARENT/GUARDIAN:
(Required only if member is under 18 years of age)