CRIMINAL OFFENDER RECORD INFORMATION (CORI) ACKNOWLEDGEMENT FORM
Chelmsford Youth Baseball is registered under the provisions of M.G.L. c. 6, § 172 to receive CORI for the purpose of screening current and otherwise qualified prospective volunteers, coaches and managers. Chelmsford Youth Baseball is to submit CORI checks to the Massachusetts Department of Criminal Justice Information Services (DCJIS).
As a prospective or current volunteer, coach or manager, I understand that a CORI check will be submitted for my personal information to the DCJIS. I hereby acknowledge and provide permission to Chelmsford Youth Baseball to submit a CORI check for my information to the DCJIS. This authorization is valid for two years from the date of this submission. I may withdraw this authorization at any time by providing Chelmsford Youth Baseball with written notice of my intent to withdraw consent to a CORI check. I also understand that this form is a CORI acknowledgment form.