Petaluma Community Police Academy Application

I HEREBY RELEASE THE CITY OF PETALUMA, THE PETALUMA POLICE DEPARTMENT, AND ALL ITS MEMBERS OF ANY LIABILITY RESULTING FROM ANY ILLNESS OR INJURY INCURRED DURING MY PARTICIPATION IN THE COMMUNITY ACADEMY. I CERTIFY THAT ALL STATEMENTS MADE HEREIN OR OTHERWISE BY ME IN APPLYING FOR THE COMMUNITY ACADEMY ARE TRUE AND CORRECT. I AUTHORIZE THE CITY OF PETALUMA TO INVESTIGATE MY QUALIFICATIONS, EMPLOYMENT, CRIMINAL HISTORY, OR CHARACTER THROUGH INQUIRIES TO ANY SOURCES AND I AUTHORIZE THE RELEASE OF ANY INFORMATION POSSESSED BY ANY LOCAL, STATE OR FEDERAL LAW ENFORCEMENT AGENCY THAT MAINTAINS CRIMINAL HISTORY INFORMATION. I UNDERSTAND AND AGREE THAT ANY MISSTATEMENT OR OMISSION OF ANY MATERIAL FACT WILL CAUSE FORFEITURE OF MY ACCEPTANCE TO, OR CONTINUED PARTICIPATION IN, THE COMMUNITY ACADEMY.