Welcome to Clarington Baseball Association (CBA) home of the Clarington Orioles

Complete this form to submit your Criminal Declaration Form
(only valid if your last CRC on file has VSC and is within 2 years of the season start; May 1st)

Criminal Offence Declaration
Clarington Baseball Association
Home of the Orioles
26 Beech Avenue, Bowmanville, Ontario L1C 3A2
www.claringtonbaseball.ca

CRIMINAL OFFENCE DECLARATION

Address
Address
City
State/Province
Zip/Postal
Country
Role
CBA requires all adult volunteers to provide a Criminal Reference Check with Vulnerable
Sector Check (CRC/VSC) every 2 years (from the May 1st of the current playing season)
and a Criminal Offence Declaration each year a CRC/VSC is not required. Volunteers who
do not provide a CRC/VSC or Declaration may not act in a volunteer role with the CBA
including but not limited to: Board Member, Coach, Assistant Coach, Trainer, Manager/Co-Manager or Official (e.g. umpire, UIC).

DECLARATION

I hereby declare that:

Signature of Applicant

Name
Name
Printed Legal First Name
Printed Legal Last Name