DISCOA Junior Board Membership Agreement
Application for July 1, 2022 to June 30, 2023
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Date *
First and Last Name *
Email Address *
Birth Date *
Phone *
Additional Phone
I am a current DISCOA member:
Clear selection
I will be between 11 and 20 years of age for the duration of the term I am seeking: *
If no to previous question, please explain
I understand
I understand that once I join as a member of the DISCOA Junior Board, I am responsible for a $10.00 annual membership fee (dues) each year that I serve, payable by July 1st.
I understand the expectations of a Junior Board member to include:
- Attend and participate in meetings as often as possible
- Attend and participate in Junior Board functions and events as often as possible
- Bring my ideas to the Junior Board
- Participate in committees, as needed
- Be a team player and have fun!
DISCOA members and Junior Board members may, from time-to-time, be photographed and/or recorded on video. These photos/videos may be shared on social media or the Board’s website. By agreeing to be a DISCOA member or serving on the Junior Board, I give my consent that I (or my minor child) may be photographed or recorded, and that his or her image may be used in future DISCOA and/or DISCOA Junior Board publications and/or social media club advertisements.
Joining the DISCOA Junior Board serves as parental permission for your child (or you) to attend periodic events either at the rink or off-site and that you do not hold DISCOA or DISCOA Junior Board liable for any accidents or mishaps.
My signature indicates my understanding of the expectations of a DISCOA Junior Board member and my willingness to abide by these expectations. I also provide my approval to be contacted (or my minor child to be contacted) by the Junior Board via phone, text and/or email messages.

After you are done signing up, please use following link to submit fees to DISCOA Junior Board.:


I understand, Member, please sign your name *
Parent Signature (if under 18 years of age)
Parent's email
Parent's phone
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