Team Mom Application








I certify that all personal information given by me on this form or any attached form is to the best of my knowledge and belief and to be true and correct. I have not knowingly withheld any pertinent facts or circumstances. I understand that any omission or misrepresentation of fact may result in refusal of or separation of my volunteer activity, upon discovery thereof.

I hereby authorize GCDTA to conduct a background check on myself and hereby release GCDTA from any and all liability or responsibility arising.


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