PDMBA Police Check Letter to Police (Port Dover Minor Baseball)

PDMBA Police Check Letter to Police

This form produces an email letter to take to the local police station to carry out your police check

PORT DOVER MINOR BASEBALL

Request To Check Pardoned Sexual Offender Data Base

Re Volunteer Police Record Check

This memo will serve to acknowledge that the applicant named on this request for a Police Record Check is a volunteer with the Port Dover Minor Baseball Association.The applicant understands that they will be required to provide two (2) pieces of identification and be asked to complete your ‘Consent to Disclosure of Personal Information Form’.

As the authorised representative of a person or organisation that is responsible for the well being of one or more children or vulnerable persons as defined in ‘Section 6.3(1) of the Criminal Records Act (Act)’, I hereby request that the Ontario Provincial Police conduct a search Pursuant to Section 6.3 of the Act with respect to the following individuals and/or positions:

Applicant First Name^*

Required

Enter Your First Name

Applicant Middle Names

Enter Your middle Name(s)

Applicant Last Name^*

Required

Enter Your Last Name

Address^*

Required

Email^*

Required

Example: [email protected]. Your submission will be sent to this address.

Indicate Your Role in PDMBA^*

Required

The Port Dover Minor Baseball Association agrees to hold all requested information in confidence.

Authorised by: The President of Port Dover Minor Baseball Association

Signature PresidentPdmba

Date of Submission^*

Required

Enter the date you submit this form

PDMBA Police Check Letter to Police (Port Dover Minor Baseball)

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