By signing this document, I declare I am a lawful representative of the Applicant, I have authority to execute documents relating to the information provided in this Application, and that the responses provided in this Application are complete, comprehensive, true and correct. I understand there are stringent and serious consequences to providing any false statements or information, or for failing to provide responsive information in this Application. Those consequences include terminating the Applicant’s license (should it be granted one), immediate decertification of all models certified or approved under any prospective license (if any) and a permanent ban from being eligible for any USSSA licensing programs.