Declaration of Application of Police Record Check (Orono Amateur Athletic Association)
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Declaration of Application of Police Record Check
This form is to be submitted by bench staff who require a Police Record Check and have applied for it from their local police department and are waiting for it to arrive. All the information submitted is confidential and for sole use of the OAAA for screening of volunteers with the organization.
Person Submitting Form
Full Name
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Team
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Orono U13 Team 1
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Orono U15 Team 1
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The team you are volunteering with
Position
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Your position with the team
Date of Form Submission
*
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Police Service Application Submitted To
Date Police Record Check Applied For
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What day did you apply for your Police Record Check
Police Department
*
Select One...
Durham Regional Police
OPP
Kawartha Lakes Police
Peterborough Police
Port Hope Police
Cobourg Police
Toronto Police
York Regional Police
Other
What police department did you apply to get your PRC from?
Declaration of Criminal/No Criminal Record 20
Criminal Record Declaration
*
I hereby state that I do not to my knowledge have any criminal convictions
I hearby state that I do have criminal convictions (see next question for details)
If you advised you have criminal convictions, please list them here with the date of conviction if known
Enter your criminal convictions here
Human Validation
Check The Box
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Human Validation Failed, Please Try Again
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Printed from oaaa.ca on Wednesday, March 29, 2023 at 9:42 PM
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