Eager Beaver Baseball Association AWS

Eager Beaver Baseball Association

Offense Self Declaration Form

I, _______________________________________________ (Volunteer’s name), solemnly declare that, since the last police records check collection by Eager Beaver Baseball Association: o

o

I have no convictions under the Criminal Code of Canada 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 I have a conviction(s) for offenses under the Criminal Code of Canada for which a pardon under the Criminal Records Act (Canada) has not been issued or granted.

__________________________________________________ Volunteer Signature

____________________________ Date

__________________________________________________ EBBA Board Member

_____________________________ Date

Eager Beaver Baseball Association ∙ 652 Elizabeth Street ∙ London, ON ∙ N5Y 5L4