Pickleball Alberta Application/Consent For Screening

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Use this form to apply for volunteer or work in Pickleball Alberta or Affiliated clubs which require a vulnerable sector check. Positions involving supervisory roles or positions of trust or authority over youth or vulnerable adults must complete this application / consent for screening. A customized PA Request for VSC Screening will then be emailed to you. Take the customized request to your police department. Check your "junk" or "spam" folder in your email account if you do not see an email from the PA Screening Committee a few days after completing this online form.

Email *

Full Legal Name (your first, middle and last name) *

Current Permanent Address (street address or rural site address, CITY / TOWN, province, postal code) *

Date of Birth *

YYYY

Phone (area code and 7 digit number e.g. 403-123-4567) *

Check the Volunteer Positions that you are applying for *

Session Host/Captain for Junior Programs: Supervise and lead pickleball sessions for youth ages 17 and younger. Sessions range from 1 to 3 hours and run 2 to 3 times per week. May ocaissionally involve chaperone responsibility if youth are participating in programs run by affiliated clubs or Pickleball Alberta.

Coaching Junior athletes: In addition to the responsibilities of Session Host, the volunteer will train and coach youth ages 17 and under.

Chaperone: This volunteer will supervise youth ages 17 and under who are travelling from their home club to participate in pickleball events organized by Pickleball Alberta or an affiliated club. In this capacity the volunteer may drive youth to and from the event.

Pickleball Coach for Vulnerable Adults: Instruct, train and counsel vulnerable adults in how to play pickleball.

Other: please provide a brief description below.

Required

If you checked "Other Volunteer Positons" please provide a brief description (e.g. billeting, running extended day camps, etc.)

I recognize that I must pass certain screening requirements depending on the position sought, as oultined in the Pickleball Alberta Screening policy, and the Screening Committee will determine my eligibility to volunteer or work in the position. By typing in your full name below you are accepting the outcome of the screening process. Type your full legal name as you entered above. *

Date of Application *

YYYY

Thank you for your interest in volunteering to help grow our sport!

A copy of your responses will be emailed to the address you provided.

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