I hereby consent and give my permission to the CFLPA to:
1. List my name, address, phone number, and other pertinent private or personal information included under the Registered Contract Advisors in the Agent section, on the CFLPA web site, www.cflpa.com, and any other web site which the CFLPA designates;
2. Provide the CFL Head Office and all CFL teams with the information referred to in paragraph number one for distribution;
3. Distribute the information referred to in paragraph one as required.

I understand that listing my name, address, and other information referred to in paragraph number one is done for the purpose of:
1. Identifying me as a CFLPA Registered Contract Advisor in full compliance with all the terms and conditions set out in the current CFLPA Regulations Governing Contract Advisors, including the payment of all required fees;
2. Identifying me as a CFLPA Registered Contract Advisor in good standing;
3. Providing the CFL teams with the necessary information required to send me pertinent and important information regarding players, applications, club tryouts, training camps and other information.

I also understand and accept that many people refer to this list, some of whom are current or potential CFL players seeking an agent to represent them in contract negotiations with the CFL member clubs.

I waive any rights I might have had, now have or may have in the future, with respect to any private or personal information referred to in paragraph number one and hereby release the CFLPA and the CFL from any claims under any privacy or other legislation with respect to the aforesaid private or personal information.

I hereby apply for registration as a Contract Advisor with the CFLPA pursuant to the CFLPA Regulations Governing Contract Advisors adopted the 12th day of January, A.D. 1985, and amended the 16th day of January, 1987, March 12 and 13, 2004, April 1 and 2, 2011, and amended from time to time thereafter.

Before making and signing this application, I have read the CFLPA Regulations Governing Contract Advisors, a current copy of which has been provided to me along with this application form and which is incorporated herein by reference. I agree to be bound by and conform to those regulations.

I ask that my answers to the following questions be considered as part of this application. I recognize that making false or misleading statements of a material nature in this application may lead to denial or revocation of my registration with the CFLPA as a Contract Advisor.

I also agree that all statements, agreements and representations made in this application are made for the benefit of the Players and the CFLPA, both present and future, and that the information herein may be provided by the CFLPA to the players in the CFL and Players negotiating with Member Clubs in the CFL I further agree that this application and the Registration Certificate issued hereto, if one be issued, and the CFLPA Regulations Governing Contract Advisors, shall constitute a contract between myself and the CFLPA

I also agree and do hereby specifically waive all of my rights with respect to privacy with respect to all questions and answers herein.

I agree to pay to the CFLPA the registration fee and the annual fee assessed for Contract Advisors.

I also agree that if any change occurs in an answer to any of the questions in this application, I shall file an amended answer with the CFLPA in a prompt manner and in no event more than 60 days from the time of the change in the answer.

EDUCATION

Law or other graduate school attended:

CURRENT OCCUPATION/EMPLOYMENT