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Get GA All-Tournament Players Park Criminal History Consent Form 2008-2024

Pertaining to me which may be in the files of any state or local criminal justice agency in Georgia. Full Name (print) Address Sex Race Date of Birth Social Security Number Signature Date Special employment provisions: X Employment with children (Purpose code "W") One of the following must be checked: This authorization is valid for 90 / 180 / (circle one) days from date of signature. I, give consent to the above named to perform periodic cr.

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