Criminal Offence Declaration Form (Saugeen Shores Minor Hockey)

Criminal Offence Declaration Form

Please be advised, a Police Record/Vulnerable Sector Check is required every three years (minimum). Please visit SSMHA's Volunteer Page for directions to completing a Record/Vulnerable Sector Check. Please refer to the OMHA Police Record Check Policy, and the Criminal Code of Canada for further details.

First Name ^*

Required

Last Name ^*

Required

Date if Birth^*

Required

Identify Your Role in SSMHA ^*

Required

Year Last Police Check was Issued ^*

Required

There have been no changes to my criminal record since my most recent background check. ^*

TrueFalse

Required

I acknowledge that the information provided in this Criminal Offence Declaration Form is accurate & in the event that any charges are initiated against me I'm too immediately notify [email protected] that this Criminal Offence Declaration Form is no longer accurate.

I Agree

Criminal Offence Declaration Form (Saugeen Shores Minor Hockey)

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Womens Hockey (OWHA)

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