MSRA Membership Form
Valid April 1, 2021 - March 31, 2022
Membership Category *
Full Name *
Email *
Street Address *
City/Town *
Postal Code *
Region *
Phone number (mobile preferred) *
Age
Are you presently under suspension from any soccer authority? *
What year did you join the MSRA? *
I confirm that I have completed the MSRA membership application form accurately and honestly. As a member of the MSRA, I will abide by the by-laws, rules and regulations of the MSRA. I will abide by the MSRA and CSA Code of Ethics at all times. *
Required
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