2022 Screening Renewal Form (Lucan-Ilderton Baseball)

Print 2022 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
  1. Example: [email protected] Your submission will be sent to this address.
  2. Example: ###-###-####












  1. 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 Lucan-Ilderton Minor Baseball Association.  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 Lucan-Ilderton Minor Baseball Association.  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 Lucan-Ilderton Minor Baseball Association 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 Lucan-Ilderton Minor Baseball Association.
Human Validation
Printed from ildertonbaseball.com on Wednesday, December 7, 2022 at 4:51 AM