By signing below, I Candidate's Name* acknowledge and attest that: 1) I am eligible to serve as a director under the BC Societies Act2) I am not bankrupt and not subject to a receivership. 3) I am not prohibited from acting as a director of a society or corporation4) I am 18 years of age or older5) I am qualified to act as a Director in accordance with BC Hockey Bylaws 505 and 507 and I have provided any documentation necessary with respect to Bylaw 507.d.6) If elected, I will divest myself of any active executive position within a BC Hockey Member Organization, including and without limitation, a position on the Member's Board of Directors, or any position as a team official, within 30 days of being elected. (BC Hockey Bylaw 505)7) I have declared any actual, perceived, or potential conflicts of interest at the time of application that might be created by my election as a Director. (Bylaw 505)8) I agree to completing a Criminal Record Check under the BC Criminal Records Review Act and acknowledge that appointment is conditional on clearance.9) I have not been disciplined or sanctioned by a sport body, professional regulator, or court for ethical misconduct (or I have disclosed if I have)