I understand and agree that my provider information will be available to anyone registering to use the Caring Network. I certify that statements made by me on this form are true and correct to the best of my knowledge. I understand that if I made any false statements that I can be prohibited from joining the registry or dismissed from the registry. Any misconduct or any action that should be deemed inappropriate by Caring Communities will be grounds for immediate dismissal from the Caring Network, including any information as a result of a background chec. Additionally, I give the family permission to investigate all references and to secure additional information about me.