SUBMIT POLICE CHECK (Burlington City Rep Hockey Club)

Print SUBMIT POLICE CHECK

Please only use this form if a Police Check has been specifically requested from you. Ensure it has Vulnerable Sector Screening. When scanning or taking a photo of the Police Check, all parts of the form including dates must be visible.

Personal Info

Last Name^*
First Name^*

Date of Birth^*

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Email Address^*

Example: [email protected] Your submission will be sent to this address.

Police Check

Date Issued^*

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Please scan or take a picture of both the front and back of Police Check and upload here.^*

Allowed extensions: .jpeg, .jpg, .png, gif, .pdf.
Maximum # Files: 4. Maximum File Size: 4MB.

Human Validation

Check The Box ^*

SUBMIT POLICE CHECK (Burlington City Rep Hockey Club)

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