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Please Include the Area Code First
**ADULT COACHES for Youth Teams, choose YOUTH PROGRAM**
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DISCLOSURE AND AUTHORIZATION
[IMPORTANT -- PLEASE READ CAREFULLY BEFORE SIGNING AUTHORIZATION]
DISCLOSURE REGARDING BACKGROUND INVESTIGATION
This form must be completed by
the person whose electronic signature is affixed to this Disclosure and Consent/Authorization.
The Amateur Athletic Union of the United States, Inc. ("AAU") may obtain information about you from a third party reporting agency (an agency that performs criminal background checks) for membership purposes and to permit you to volunteer with/for the AAU. Thus, you may be the subject of one or more criminal background checks/reports. Criminal background reports may contain information regarding your criminal history, social security verification, or other background checks. The AAU will not request your credit history. The scope of this notice and authorization is all encompassing, allowing the AAU to obtain from any outside organization all manner of criminal background reports now and throughout the term of your membership to the extent permitted by law.
AAU will obtain criminal background reports on all adult members and/or adult applicants on (approximately) an annual basis. If you purchase a multi year membership, your consent herein will remain in effect throughout your membership. AAU may obtain criminal background reports on all multi year members at or around the start of each new year of a multi year membership and/or at such other times throughout your membership as may be permitted by law in the sole discretion of the AAU. As a result of all of the foregoing, you should carefully consider whether to exercise your right to request disclosure of the nature and scope of any criminal background report acquired by the AAU.
ACKNOWLEDGMENT, AUTHORIZATION & RELEASE
I acknowledge receipt of the DISCLOSURE REGARDING BACKGROUND INVESTIGATION and
A SUMMARY OF YOUR RIGHTS UNDER THE FAIR CREDIT REPORTING ACT
I acknowledge that my membership and the opportunity to volunteer/participate with the AAU is contingent upon the AAU's approval after reviewing the criminal background checks/reports obtained by AAU as well as my continued adherence to AAU's policies, procedures, and applicable federal, state, and local laws. I hereby release, indemnify, save and hold harmless the AAU and its officers, directors, members, employees, attorneys, and agents from any and all liability, claims, or demands by me or my heirs and/or representatives arising out of any criminal background checks/ reports obtained and/or used by the AAU in connection with both my application for membership and/or to volunteer with/for the AAU and any resulting membership with and/or volunteer services to/for the AAU.
Check this box if you would like to receive a copy of the consumer report(s)
(also known as "investigative consumer reports" under California
law) at no charge if obtained by the AAU.
Note: THIS FIELD IS NOT REQUIRED. ONLY SELECT A CLUB OR ENTER A CODE IF YOU ARE ALREADY PART OF A CLUB.
If you have an association with a club, enter the Club Code or select a Club from the list below to affiliate yourself with that club. You will need to have entered your Zip Code (above) to load the list of available clubs.
If you cannot find your club, enter the Club Code below.