Appendix 44: Annual Conflict of Interest Declaration

I acknowledge that I have received, read, and understand the CMMOTA Conflict of Interest Policy.

I understand my obligation to disclose any actual, potential, or perceived conflict of interest and to act in the best interests of the Canadian Massage and Manual Osteopathic Therapists Association (CMMOTA).

Please select one:

☐ I am not aware of any actual, potential, or perceived conflicts of interest.

☐ I declare the following conflict(s) of interest:

I agree to disclose any new conflict of interest immediately should circumstances change.

Director Name: _____________________________________________

Signature: _________________________________________________

Date: _____________________________________________________

©2026 CMMOTA, All Rights Reserved.

Original Date of Appendix Adoption: September 17, 2026

Date of Last Appendix Revision: