Elgin Middlesex Soccer Association

Elgin Middlesex Soccer Association

2025 Club Membership Renew Form
This renewal must be received fully completed on or before January 15th.

Renewals received on or between January 16th & February 15th will have a fine of $50 applied. Renewals received from February 16th onwards, membership with EMSA will be terminated.

Reconsideration for reinstatement will be heard by EMSA Board at one of its regular meetings accompanied by a reinstatement fee of $250.
Club/ League Name*
Club Registration Number *
Club/ League Name Address*

Street Address

CityProvince

Zip Code
Preferred email for EMSA Mailings*
example@example.com
Other Preferred Email(s) for EMSA Mailings
Club/ League Website
Club Individual contact information
President / Chair*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Vice President / Vice Chair*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Treasurer*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Registrar*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Check Boxes: MANDATORY
Check here to certify that your Club/League’s Constitution and/or Bylaws have not changed since the organization’s previous Membership renewal application. If the Constitution and/or Bylaws have changed, you must upload a copy.
Constitution and/or Bylaws Upload

Cancelof
Check here to certify that your Club/League has prepared financial statements in accordance with Ontario Soccer Policies and Procedures. Financial Statements must be available on request. Requirements regarding audited financial statements can be found on EMSA's Website under Membership Renewal tab.
Check here to certify that your Club/League agrees to abide by the Governing Documents of Ontario Soccer and the District Association; and to abide by the decisions made by the District Association's Board of Directors elected to act on its behalf
Check here to certify that your Club/League agrees to abide by the Match Official Charter as previously circulated and published on EMSA's website.
Check here to agree to receive e-mails from the Elgin Middlesex Soccer Association and Ontario Soccer as a registered member of the district
In consideration of the acceptance of our membership in Elgin Middlesex Soccer Association (EMSA), we agree to comply and abide by EMSA’s Policies including, but not limited to:*

a) Dispute Resolutionb) Harassmentc) Volunteer Screeningd) Conflict of Intereste) Privacy Policyf) Transgender Policyg) Social Media Policyh) Rowan’s Law
By clicking the "Submit" button, you agree to the following:

1. The information provided is accurate to the best of your knowledge.
2. You understand and consent to the collection and processing of the submitted information.
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