Your application will not be considered complete without your signature following the "Applicant's statement and certification" below.
Applicant's statement and certification: I hereby affirm, attest, and certify that the information contained in this application and all representations made to CAMP HORIZON, INC., herein are true and correct and that I have not knowingly withheld any pertinent material, facts or circumstances. I understand that any omission or misrepresentation of fact in this application may result in refusal or separation from volunteer service upon discovery thereof. I fully authorize the persons, organizations, and agencies identified in this application to release to CAMP HORIZON, INC., its agents, or designees any and all information needed to determine my moral character and fitness to serve as a volunteer with children associated or unassociated with CAMP HORIZON, INC. I further release CAMP HORIZON, INC., its agents, Board Members, assignees, and designees from any and all liability including but not limited to any physical, mental, emotional, or financial damage that may result from my performance of any service to CAMP HORIZON, INC., or from allowing CAMP HORIZON, INC. to receive any information it has requested to determine my moral character and fitness as a volunteer.