WAIVER. CONSENT AND RELEASE OF LIABILITIES:
I hereby consent to the investigation and verification of an information given in this application, including searches of law enforcement and public records (including driving records and criminal background checks), contact with former employers and reference interviews. I hereby release and agree to hold harmless Steppingstone Music Opportunities (SMO), Inc. and its officers, employees and volunteers and any person or organization that provides information for or to SMO Inc., concerning the use of or any attempt to verify the information provided in this application. I declare that all of the information given by me in this application is true and complete to the best of my knowledge, and I understand that any misrepresentation or omission may be cause for suspension or dismissal from my volunteer status with SMO.

Would you like to receive a copy of your background check?
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In consideration of accepting the registration and permitting the voluntary participation in of the above-named participant in its programs, for myself and on behalf of my heirs, assigns and next of kin, I hereby release, discharge and agree to hold harmless SMO, its employees, volunteers, officials, sponsors and other representatives and any and all owners, lessors, lessees or other persons or entities allowing, permitting or authorizing the use of facilities by SMO and the agents, employees, officers and directors of said person or entities from any and all claims, demands, costs, expenses and compensation arising out of or in any way related to any injury or other damage that may result to said participant or to members of my family or my household or individuals I invite or for whom I am otherwise responsible while participating in or present at any SMO sponsored event, including any physical or other injury caused by the negligence of any person or entity described above.

I HAVE READ THE ABOVE DISCLOSURE STATEMENT, WAIVER, CONSENT AND RELEASE OF LIABILITY DISCLAIMER, ASSUMPTION OF RISK AND WAIVER, AND ACKNOWLEDGEMENT AND CONSENT AGREEMENTS, FULLY UNDERSTANDTHE TERMS OF EACH, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY MY SIGNING THIS FORM AND AGREEING TO THESE TERMS, AND I SIGN THIS FORM AND AGREE TO THESE TERMS FREELY AND VOLUNTARILY AND WITHOUT INDUCEMENT OF ANY KIND.

Please click the submit button to send this application or print and return this completed application to: Executive Director The Sad Café P.O. Box 1051, Plaistow, NH 03865

THANK YOU FOR YOUR INTEREST!