SLSC Officials Registration and PIPEDA Form
Officials Registration 2017/18 Season
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Name: *
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Level and date of Certification (If known):
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Sign off/Deck Evaluations Obtained:
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Comprehensive Code of Conduct and Ethics Agreement: I have read the Swim Ontario Comprehensive Code of Conduct and Ethics ( and agree to abide by the Swim Ontario Comprehensive Code of Conduct and Ethics.Sudbury Laurentian Swim Club & SWIM ONTARIO REQUIREMENTS 1. Level IV and V officials must submit either a Police Record Check (valid for 5 years) obtained from their local Police Services Departments or an Offence Declaration Form (see Screening – Club Personnel procedure in Swim Ontario Procedure Manual). Please indicate which documents will accompany this registration (one choice only) A Scanned Copy of Police Record Check is included with this registration. An Offence Declaration Form is included with this registration2. Signed SNC / SO PIPEDA Consent Form¬Upon acceptance of my application I agree to abide by and comply with the By-Laws, policies, procedures, rules and regulations of Swim Ontario. I understand fully the implications of being a registrant of Swim Ontario. *
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