Pinnacle Academy - Background check

Pinnacle Academy - Background check
Student Athlete Name*

First NameLast Name
Parent Name*

First NameLast Name
Student Athlete Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
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 E-Signature*

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

Clear
By e-signing you agree to allow Pinnacle Academy to run a background check
Should be Empty: