This form is the mandatory declaration that is required to be an adult member of the CASUA. Adult means anyone who is 18 years of age before May 1 of the current season

See the Explanatory Letter for details
In your first year as an umpire, and then every five years after that, a Police Criminal Record Check (with Vulnerable Sector) must be completed.
- If you need to do this, print and present this form to your local RCMP or municipal police detachment.
  - VOLUNTEER LETTER FOR CRC >
- Note: call the RCMP as they may only make appointments for certain days or times to start the check when you have to appear in person.
In the second to fifth year you complete an annual form shown below the black line.
- Your email address attached to this form will serve as the required signature when submitted on-line.
- If you prefer to print the form, fill it out, scan it and submit it, here is the form.
If you have a suitable check including the Vulnerable Sector Check from work or another organization, then it may be used in our association. Simply submit a copy of the current check to our president.

If you are ready to submit your yearly update, please fill out and submit the form below.

Name *

First

Last

Gender

Your city, town, village, RR# *

Postal Code *

Date of Birth *

DD/MM/YY

Cell Phone

Home Phone

Email *

required for RAMP assigning program

Declaration - To meet the requirements of the CASUA’s Background Screening Policy, I DECLARE, since the last Police Information Check or Screening Disclosure Form submitted by me to the CASUA, that (select one): *

If you have any criminal convictions then fill in the details below

I hereby certify that the information contained in this form is accurate, correct, truthful and complete, and that I will immediately inform CASUA of any changes in circumstances that would alter my original responses to this Screening Disclosure Form. Failure to do so may result in being declared ineligible for membership.

Today's date *

DD/MM/YY

By submitting this form electronically, I declare that the email address constitutes the equivalent of my legal and binding signature on this document, and indicates that all the information regarding legal proceedings is correct and accurate on the date of submission.

Website

Adult Record Check – Mandatory

This form is the mandatory declaration that is required to be an adult member of the CASUA. Adult means anyone who is 18 years of age before May 1 of the current season

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