PLEASE READ CAREFULLY BEFORE SIGNING
CONSENT AND RELEASE AGREEMENT TO FGBR
I authorize Freedom Gates Boys Ranch. ("FGBR") and any representative of employee of that organization to make any inquiry or engage in any discussion concerning me which FGBR or its representatives and employees deem appropriate. I authorize FGBR to obtain information from any source concerning me, my history and references to the full extent that FGBR, in its discretion, deems necessary to determine my suitability for employment. I release FGBR from any and all liability that may potentially result from the use of such employment-related information from any source. I authorize and request any former employers, schools, and persons to freely give FGBR any and all information which they may have concerning me or my previous employment, and I waive any rights which may exist with respect to such information. I authorize the release of information about me without liability to any person, firm or company releasing such information. I further release and hold harmless any former employer, school and person providing employment related information from any and all liability that may potentially result from the release of such information. This release includes, but is not limited to, claims of defamation, libel, slander, negligence, or interference with contract or profession.
BY SIGNING BELOW, I ACKNOWLEDGE THAT I HAVE HAD THE OPPORTUNITY TO READ THIS DOCUMENT AND ASK ANY QUESTIONS I MAY HAVE HAD BEFORE SIGNING IT. I ALSO ACKNOWLEDGE THAT I UNDERSTAND THE MEANING AND EFFECT OF THIS DOCUMENT AND ITS PROVISIONS.