Criminal Offence Declaration (Burlington City Rep Hockey Club)
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Criminal Offence Declaration
Personal Info
Last Name
*
First Name
*
Date of Birth
*
Email Address
*
Example:
[email protected]
. Your submission will be sent to this address.
Declaration
Please choose one of the following
I have no convictions for offenses under the Criminal Code of Canada as outlined in the OMHA Police 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 have the following convictions for offenses under the Criminal Code of Canada as outlined in the OMHA police Record Checks Policy, for which a pardon under the Criminal Records Act (Canada) has not been used or granted
Conviction(s):
I hereby declare the above statements to be true
Yes
*
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