Experience Academy - Background Check

Experience Academy - Background Check
Student Athlete Name

First NameLast Name
Student Athlete Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Student Athlete Phone Number

Area CodePhone Number
Student Athlete Email
example@example.com
Student Athlete Driver's License Number
Student Athlete Social Security Number
You understand that by signing the E-Signature below, that you are giving Experience Academy authorization to complete a background check on you.

*Student Athlete's that are under the age of 18 must have a parent/guardian consent to an E-signature as well.
Student Athlete E-Signature

By e-signing you agree to allow Experience Academy to run a background check
Parent/Guardian E-Signature

By e-signing you agree to allow Experience Academy to run a background check
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USDBackground Check Fee

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