Criminal Offences Declaration (Tecumseh-Shoreline Eagles)
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Criminal Offences Declaration
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Criminal Offences Declaration
Personal Information
First Name
*
Required
Last Name
*
Required
OMHA Centre
*
Tecumseh-Shoreline
Required
Hockey Canada Registry (HCR) Number
(Not Required)
Coach.ca Locker (NCCP) Number
(Not Required)
Division(s) applying for:
U5
U7
U8
U9
U11
U13
U15
U18/U21
Travel Team
Check All That Apply
I hereby declare that
I have
NO CONVICTIONS
for offenses under the Criminal Code of Canada as outlined in the TSMHA Criminal Record 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).
I agree to the terms and conditions stated above
I have the following convictions for offenses under the Criminal Code of Canada as outlined in the TSMHA Criminal Record Check Policy, for which a pardon under the Criminal Records Act (Canada) has not been used or granted:
I agree to the terms and conditions stated above
What are your convictions?
Please select today's date
By clicking this box, this acts as a virtual signature for your police declaration
I agree to the terms and conditions stated above
*
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