B3:   MEMBER PROTECTION DECLARATION

 

The ABF has a duty of care to all those associated with the sport at the national level and to the individuals and organisations to whom the Member Protection Policy applies.  As a requirement of the Member Protection Policy, the ABF must enquire into the background of those whose position involves working, coaching, supervising, or regular unsupervised contact with people under the age of 18-years.

 

 

I …………………………………………………………….. (name) of ……………………………………………

 

..………………………………………………………………………….. (address), born ……/……/……………

 

sincerely declare:

 

(1)      I do not have any criminal charge pending before the courts.

 

(2)      I do not have any criminal convictions or findings of guilt for sexual offences, offences related to children, acts of violence, or narcotics.

 

(3)      I have not had any disciplinary proceedings brought against me by an employer, sporting organisation, or similar body involving child abuse, sexual misconduct or harassment, other forms of harassment, or acts of violence, or narcotics.

 

(4)      I am not currently serving a sanction for an anti-doping rule violation under an ASADA-approved anti-doping policy applicable to me.

 

(5)      I will not participate in, facilitate, or encourage any practice prohibited by the World Anti-Doping Agency Code, or any other ASADA-approved anti-doping policy applicable to me.

 

(6)      To my knowledge there is no other matter that the ABF may consider to constitute a risk to its members, employees, volunteers, athletes, or reputation by engaging me.

 

(7)      I will notify the Chief Executive Officer of the organisation/s engaging me immediately upon becoming aware that any of the matters set out in clauses (1) to (6) above has changed.

 

Declared in the State / Territory of ……………………………………….…………………………. on

 

 

……/……/…………… (date)   Signature ………………………………………………………….

 

 

Parent / Guardian Consent (in respect of person under the age of 18-years)

 

I have read and understood the declaration provided by my child.  I confirm and warrant that the contents of the declaration provided by my child are true and correct in every particular.

 

Name:  ……………………………………………….……………….

 

 

Signature:  …………………………………………………

 

 

Date:  ……/……/……………