Proxy Assignment Form

In accordance with the bylaws of the Fort Collins Figure Skating Club, if you are unable to attend the annual membership meeting, a proxy may be assigned. Please complete this form by Friday, August 28th.  

Email *
Member Name *
Member Number *

The undersigned club member hereby appoints the following as a proxy (person

authorized to vote for another) at the 2026 FCFSC Annual Membership Meeting. Select

or name a senior club member to vote on your behalf:

 *
If you selected Other above please list the name of the senior club member you would like have as your proxy
Your named proxy will remain your proxy in any club wide voting matters unless you specify an end date that is sooner than 7/29/27 (July 29th, 2027).  Please specify an end date below if you wish to have an end date sooner than 7/29/27 (July 29th, 2027)
Your typed name below will act as your signature indicating that the proxy named above can vote on your behalf at the Fort Collins Figure Skating Club annual meeting occurring on August 29th, 2026 and for 11 months following the annual meeting in any additional club member votes unless an earlier end date is specified above. *
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