SCREENING RENEWAL FORM (St. Thomas Minor Baseball)
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SCREENING RENEWAL FORM
THIS FORM IS TO BE USED IF YOU HAVE PREVIOUSLY SUBMITTED A VULNERABLE SECTOR CHECK OR AN ENHANCED POLICE INFORMATION CHECK.
PERSONAL INFORMATION
FIRST NAME, MIDDLE NAME, LAST NAME
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CURRENT PERMANENT ADDRESS
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INCLUDING CITY, PROVINCE AND POSTAL CODE
DATE OF BIRTH: MONTH/DAY/YEAR
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GENDER
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EMAIL:
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PHONE:
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2022 TEAM OR DIVISION COACHING
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8U REP
9U REP
9U SELECT
10U REP
11U REP
11U SELECT
12U REP
13U REP
13U SELECT
14U REP
15U SELECT
18U REP
Board member
By submitting this document, I certify that there have been no changes to my criminal record since I last submitted a Vulnerable Sector Check and/or an Enhanced Police Information Check and/or a Screening Disclosure Form to St Thomas Minor Baseball. I further certify that there are no outstanding charges and warrants, judicial orders, peace bonds, probation or prohibition orders, or applicable non-conviction information, and there have been no absolute and conditional discharges.
I agree that any Enhanced Police Information Check and/or Vulnerable Sector Check and/or Screening Disclosure Form that I would obtain or submit on the date I submit this would be no different than the last Vulnerable Sector Check and/or Enhanced Police Information Check and/or Screening Disclosure Form that I submitted to St Thomas Minor Baseball. I understand that if there have been any changes, or if I suspect that there have been any changes, it is my responsibility to obtain and submit a new Vulnerable Sector Check and/or Enhanced Police Information Check and/or Screening Disclosure Form to St Thomas Minor Baseball instead of this form.
I recognize that if there have been changes to the results available from the Vulnerable Sector Check and/or Enhanced Police Information Check and/or Screening Disclosure Form, and that if I submit this form improperly, then I am subject to disciplinary action and/or the removal of volunteer responsibilities or other privileges at the discretion of St Thomas Minor Baseball.
I agree to the terms and conditions stated above
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Human Validation
Check The Box
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Mon May 29, 2023
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