Miramichi Boys and Girls Club 115 Maher Street, Miramichi, NB E1N 4B4  506.778.2444   Consent to Contact References Youth Leader Applicant     I.______________________________________________hereby grant permission to Miramichi Boys and Girls Club to contact references in regards to my application as a Youth Leader.    Applicant’s Signature: ________________________________________________   Date:  _____________________________________________________________   Witness:  ___________________________________________________________