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Milton Girls Softball is requesting all the available criminal offender record information (CORI) on the following individual from the Criminal History Systems Board pursuant to Chapter 6, ยง 172H which mandates organizations primarily engaged in providing activities or programs to children 18 years of age or less that accepts volunteers, to obtain all CORI regarding volunteers prior to accepting any person as a volunteer.


CORI Form

May 1, 2025

First Volunteer Name

First Name*

Last Name*
First Volunteer Age Acknowledgment*
First Volunteer Date of Birth*
I certify that I am 18 years of age or older
First Volunteer Information

MAIDEN NAME OR ALIAS (IF APPLICABLE)

Date of Birth (MMDDYYYY) *

Last 6 Digits of SSN (No dashes) *
First Volunteer Signature*
Second Volunteer Name

First Name*

Last Name*
Second Volunteer Date of Birth*
Second Volunteer Information

MAIDEN NAME OR ALIAS (IF APPLICABLE)

Date of Birth (MMDDYYYY) *

Last 6 Digits of SSN (No dashes) *
Third Volunteer Name

First Name*

Last Name*
Third Volunteer Date of Birth*
Third Volunteer Information

MAIDEN NAME OR ALIAS (IF APPLICABLE)

Date of Birth (MMDDYYYY) *

Last 6 Digits of SSN (No dashes) *
Fourth Volunteer Name

First Name*

Last Name*
Fourth Volunteer Date of Birth*
Fourth Volunteer Information

MAIDEN NAME OR ALIAS (IF APPLICABLE)

Date of Birth (MMDDYYYY) *

Last 6 Digits of SSN (No dashes) *
Fifth Volunteer Name

First Name*

Last Name*
Fifth Volunteer Date of Birth*
Fifth Volunteer Information

MAIDEN NAME OR ALIAS (IF APPLICABLE)

Date of Birth (MMDDYYYY) *

Last 6 Digits of SSN (No dashes) *
Sixth Volunteer Name

First Name*

Last Name*
Sixth Volunteer Date of Birth*
Sixth Volunteer Information

MAIDEN NAME OR ALIAS (IF APPLICABLE)

Date of Birth (MMDDYYYY) *

Last 6 Digits of SSN (No dashes) *
Seventh Volunteer Name

First Name*

Last Name*
Seventh Volunteer Date of Birth*
Seventh Volunteer Information

MAIDEN NAME OR ALIAS (IF APPLICABLE)

Date of Birth (MMDDYYYY) *

Last 6 Digits of SSN (No dashes) *
Eighth Volunteer Name

First Name*

Last Name*
Eighth Volunteer Date of Birth*
Eighth Volunteer Information

MAIDEN NAME OR ALIAS (IF APPLICABLE)

Date of Birth (MMDDYYYY) *

Last 6 Digits of SSN (No dashes) *
Ninth Volunteer Name

First Name*

Last Name*
Ninth Volunteer Date of Birth*
Ninth Volunteer Information

MAIDEN NAME OR ALIAS (IF APPLICABLE)

Date of Birth (MMDDYYYY) *

Last 6 Digits of SSN (No dashes) *
Tenth Volunteer Name

First Name*

Last Name*
Tenth Volunteer Date of Birth*
Tenth Volunteer Information

MAIDEN NAME OR ALIAS (IF APPLICABLE)

Date of Birth (MMDDYYYY) *

Last 6 Digits of SSN (No dashes) *
Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email
Your signed waiver will be sent to the email address provided here and is available for download for three days via URL attachment.
Upload a photocopy of your driver's license here:
  
Driver's License *
Valid file types: JPG, GIF, PNG, and PDF
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Age Acknowledgment*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Information

MAIDEN NAME OR ALIAS (IF APPLICABLE)

Date of Birth (MMDDYYYY) *

Last 6 Digits of SSN (No dashes) *
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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