Use this form to appoint Cellan Griffiths as your club’s proxy at the MRHA Annual General Meeting. Cellan Griffiths will vote in favour of Cellan and David Griffiths as Directors of the MRHA at the meeting.

MRHA Nominations

  • Enter your hockey club's name, minus the 'Hockey Club' part. For example, Beeston Hockey Club would enter 'Beeston' into the field.
  • Date Format: DD slash MM slash YYYY
  • By signing this form, I am appointing Cellan Griffiths as my proxy at the 2019 Annual General Meeting (and any adjournment thereof) of Midland Region Hockey Association Ltd ("MRHA") under section 324 of the Companies Act 2006. The proxy is authorised to vote in favour of the appointment of Cellan Griffiths and David Griffiths as Directors of the MRHA. I confirm that I am duly authorised by my club to appoint a proxy. The proxy form will be delivered to the proxy, Cellan Griffiths, and to my club Secretary, the email address of whom I have provided.