Program Directors must submit all necessary forms to the Designated Official (Safety and Risk Management) 30 days prior to the start of a Covered Program. Please submit all completed forms in one file/packet via email or departmental mail (3904). All forms are fillable PDF forms. If they do not open as a fillable form, you may use an alternate internet browser..
Required Registration Form
Programs for Minors Registration Form (FORM A) This is a fillable form that can be downloaded as a PDF and saved to your computer. You may have to select "save as" in order to save it. If it is not fillable for you, you will have to "save as" and then open in Adobe to use the fill-in function. You are also welcome to hand write on the form.
In addition, one of each of these forms should be submitted for each Covered Adult
Government Issued Photo ID for each Covered Adult (attach this to the background check form)
Proof of Child Protection Training Completion for each Covered Adult (print training certificates and include in packet)
For third party organizations only Release, Hold Harmless and Indemnification Agreement (FORM D)
Program Directors keep these forms in their department Standards of Conduct for Covered Adults (FORM E)
Programs that include strenuous activity
For programs that include strenuous activity, please complete these additional forms. Program Directors will keep these forms on hand:
Request for Exception
Section 5 of SA 575 provides three exceptions to the requirements of Sections 3 and 4 of SA 575, the use of two of which requires the Program Director to complete a form and submit it to the Designated Official. A Program Director requesting the use of the first exception (“large number of volunteers”) should complete FORM F and submit it to the Designated Official in advance of the use of the exception. A Program Director requesting the use of the third exception (“exceptional circumstances”) should complete FORM G and submit it to the Designated Official after the Program Director’s use of exception.