Please complete all of the required information below:
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I hereby certify that the above information contained in this Franchise Application is true and correct. I understand that the above information will be utilized by Barossa Franchise dba Snaggle Foot in its evaluation of my expression of interest in acquiring a Snaggle Foot Franchise. I understand that in submitting this application I am not agreeing to be obligated to acquire a Snaggle Foot Franchise and that acceptance of my application is not an agreement to grant me a franchise opportunity, which will only occur upon execution of a Franchise Agreement. I further understand that if Snaggle Foot decides to proceed with my application, I will be provided, prior to execution of any binding agreement, with a Franchise Disclosure Document.

In accordance with the Privacy Act (5 U.S.C. 552 a), Freedom of Information Act, and the Fair Credit Reporting Act, I expressly authorize any past or present employer, any law enforcement agency (federal, state, or local), or any person who has personal knowledge of my character, work experience, or criminal records to release information to Snaggle Foot. I understand and acknowledge that as a condition of being considered for a Snaggle Foot Franchise, I agree to a credit history check and a criminal background check to be performed by a reputable agency at the choice of Snaggle Foot. I understand that the credit and criminal reporting agencies will make their results known to Snaggle Foot, and Snaggle Foot may use those results, in whole or in part, in determining whether I will be granted the right to enter into a Franchise Agreement with Snaggle Foot. I understand that Snaggle Foot is relying upon all of the information contained in this application as a material factor in considering my application to become a Snaggle Foot Franchisee, and I therefore agree to promptly notify Snaggle Foot of any material change in any of this information or any subsequent information provided to Snaggle Foot. In addition, I release from liability and hold harmless all persons releasing personal, professional, or financial information on me or any company to which I am a partner or shareholder listed on this application.

I further agree to provide a detailed resume and a current personal financial statement upon the request of Snaggle Foot.
 
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