Background Check Group Waiver Request Form

Hold Harmless & Indemnification Agreement for School Districts & Organizations

This agreement form is intended for a school, district, or organization wishing to waive background check fees for and accept responsibility for the actions of all Destination Imagination Team Managers for any and all teams that it sponsors. California Team Managers are not eligible for a group waiver.

Please fill out the form below. When your waiver has been processed, you will receive an email from AskDI@dihq.org. Processing takes 5-10 business days.

In order to complete this form, you will need the following information:
- Data on your Team Managers: first name, last name, and email address
- Data on your School/District/Organization: address, phone number
- A point of contact who is able to sign on behalf of your School/District/Organization
- A signed copy of this agreement.

If you need assistance, please contact AskDI@dihq.org.

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* 1. Contact Email (this is the address we will use to notify you when your waiver has been processed)

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* 2. School/District/Organization Name

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* 3. Address

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* 4. Point of Contact (First and Last Name)

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* 5. Role/Position

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* 6. Upload your signed agreement form here.

PDF, PNG, JPG, JPEG file types only.
Choose File

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* 7. I understand that failure to supply a signed agreement form will delay my waiver's processing.

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* 8. Please list each Team Manager who should be included on your waiver by first and last name. Each Team Manager name should be separated by a comma.

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* 9. I understand that any misspellings or typos will delay my Team Manager's ability to have their background check waived.

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* 10. Please list the email address of each Team Manager who should be included on your waiver. Each email address should be its own line.

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* 11. I understand that any misspellings for types will delay my Team Manager's ability to have their background check waived. Additionally, if the email address provided does not match the email address they use in the DI Resource Area, that will delay my Team Manager's ability to have their background check waived.

Thank you for submitting your waiver! We will process your request in 5-10 business days. You will receive a confirmation email when your waiver has been processed. In the meantime, any questions should be directed to AskDI@dihq.org.

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