2026 Police Report/Offence Declaration (Stratford Minor Baseball Association)

2026 Police Report/Offence Declaration

All head/assistant coaches need a valid VSC on file. VSC's are good for 3 years. Anyone not needing a new VSC must complete this declaration. Please fill the information below. If needing a letter for a Police Check send an email to Emily at [email protected]. Send copy of your VSC to Emily when complete. CC [email protected] to receive reimbursement.

INFORMATION

First/Last Name^*

Required

Email Address^*

Required

Cell Phone #^*

Required

Select Rep Team

Select 1 of the following:^*

No convictionsI have been convicted

Required

If you have been convicted of a criminal offence please fill out Section 3

Section 3

I have been convicted of the following criminal offences under the Criminal Code of Canada for which a pardon under Section 4.1 of the Criminal Records Act (Canada) has not been issued or granted to me.

Conviction

Explain the nature of the conviction

Date of conviction

Court location

Signature

Please accept this as an authorized signature.^*

I agree to the terms and conditions stated above

Type your full first/last name ---->

Full first/last name^*

Required

2026 Police Report/Offence Declaration (Stratford Minor Baseball Association)

INFORMATION

Section 3

Signature

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