Police Check Declaration (Port Dover Minor Baseball)

Police Check Declaration
To be completed where a person has a current valid police check (Within last 5 Years). This declaration should be completed annually

Port Dover Minor Baseball - Police Check Declaration

Once Completed it will be automatically Emailed to the Police Check Manager

Identity

Declaration 1

I hereby declare that:

I have no convictions for offences under the Criminal Code of Canada as outlined in the PDMBA Police check policy up to and including the date of this declaration for which a pardon has not been issued or granted under the Criminal Records Act (Canada)



OR


Declaration 2

I hereby declare that:

I have the following convictions for offences under the Criminal Code of Canada as outlined in the PDMBA police record Checks policy, for which a pardon under the Criminal Records Act (Canada) has not been used or granted

Convictions

Complete the below comment box with your convictions if checked Declaration 2

Electronic Signature and date

Completion of your name and date of submission of this form is considered to be an Electronic Signature