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Laguna Niguel Youth Soccer - AYSO Region 41 - Serving the Laguna Niguel Community Since 1973

Live Scan Event - Feb. 10th

Region 41 Live Scan Information

Upcoming Live Scan Event(s)

  1. February 19, 2024, Church located at 28291 Alicia Parkway, Laguna Niguel, 7 p.m. - 8 p.m. 

  2. February 25, 2024, Norman P. Murray Center, Mission Viejo, 2 p.m. - 4 p.m.

  3. March 11, 2024, Church located at 28291 Alicia Parkway, Laguna Niguel, 7 p.m. - 8 p.m.

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Dear Volunteers,

Confidential Live Scan will be conducting Live Scans on the above date for all Regions in Area 11L.  All volunteers needing to get their Live Scan completed are invited to get fingerprinted.  Frank Bernal, Region 84 referee and Live Scan Technician/Owner of Confidential Live Scan, will be conducting the fingerprinting.  Confidential Live Scan is a CalDOJ certified Live Scan fingerprinting provider, authorized to provide fingerprinting services for AYSO.

On the day of the event, you will need to present your unexpired California Driver's License or unexpired Other photo ID (passport, military ID, alien registration card, California ID Card, or out of state driver’s license), no exceptions please.  Upon arrival, please check-in with Frank.  Each scan only should take a few minutes.

Please complete, print and bring the attached Request for Live Scan Service Form to the Live Scan event per the below instructions.  Please read the attached Privacy Disclosures.  The disclosures are for your information only and need not be printed.

If you have any questions about or problems with completing the attached Request for Live Scan Service Form or about the fingerprinting process, you may contact Frank via text/phone call at (949) 243-4124 or email at [email protected].

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INSTRUCTIONS FOR COMPLETING REQUEST FOR LIVE SCAN SERVICE FORM

Please complete one copy of the attached fillable PDF Form, print the Form and present the Form to Frank when it is your turn to get fingerprinted.  In order to use the fillable form, you need to download the form and/or have Adobe Acrobat installed.  In lieu of completing the fillable fields on your electronic device, you may print the form and legibly hand write the required information.  Complete only the highlighted fields as follows:

  1. Last Name and First Name Fields:  Enter your name as shown in your photo identification listed in item 5 or 6 below.  Do not enter shortened names or nicknames for your first name.

  2. Middle Name Field:  Enter your full middle name.  If you don’t have a middle name, leave it blank.

  3. Suffix Field:  Enter Jr., Sr. or Roman Numeral(s) only.  If not applicable, leave blank.

  4. Date of Birth Field:  Enter, month, day and year

  5. Driver's License Field:  Only enter a valid unexpired California Driver's License (CADL).  Do not enter a California Identification Card or out of state/country driver’s license in this field.  If you do not have a valid unexpired CADL, other forms of identification may be entered as described in item 6 below.  A valid unexpired CADL, while not required, is preferred above other forms of identification.

  6. In the Misc. Number (Other Identification Number) Field:  Complete ONLY if you do not have a valid unexpired CADL.  Other forms of acceptable (photo) identification include an unexpired passport, California ID Card (not a CA driver's license), military ID or out of state driver's license.   Please include the number and type of Other Identification Number ( i.e., Nevada DL 12345, U.S. Passport 6789).  If you do not have one of the above identifications, please contact Frank for other forms of acceptable identification.

  7. Home Address Field:  Enter your full address, including apartment number, if applicable, and Zip Code.

  8. Your AYSO Region Number Field:  Enter your AYSO Region Number, 889 (Aliso Viejo),  84 (Mission Viejo), 85 (Lake Forest), 1455 (Ladera Ranch), 630 (RSM), 1678 (RMV), 41 (Laguna Niguel).

  9. After printing the form, sign and date in the appropriate fields.

 

Request for Live Scan Service Form.pdf

 

Privacy_Disclosures for Event.pdf

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Laguna Niguel Youth Soccer - AYSO Region 41

30251 Golden Lantern, Suite E - #268
Laguna Niguel, California 92677

Email Us: [email protected]
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