Privacy Consent (Clarington Baseball Association)

Privacy Consent

Players First Name^*

Players Last Name^*

Players Date of BIrth^*

Parent/Guardian First Name^*

Parent/Guardian Last Name^*

Relationship to Player^*

I hereby give my consent to the Clarington Baseball Association to provide the Municipality of Clarington, my child's name and birth date in accordance with privacy laws, for the sole purpose of obtaining a municipal lottery license

As guardian of the above mentioned child, I have authorization to agree to this.

I agree to the terms and conditions stated above^*