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CRIMINAL Offense DECLARATION LOCAL ASSOCIATION TEAM OFFICIALS/VOLUNTEERS (AS PER OF SCREENING POLICY APPENDIX A)Print Name:___Date of Birth: ___ Month/Day/Year Telephone number: (___)___ Email Address:

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5. Fill in your personal information in the designated fields, such as name, address, contact details, and date of birth.
6. Provide details about the criminal offense you are declaring, including the date of the offense, nature of the offense, and any legal actions taken.
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