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Do you have any physical limitations which preclude you from performing certain kinds of work? If yes, describe such limitation:

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I certify the information supplied by me in this application is true and correct and I authorize investigation of all statements including former employers and references. I hereby release from all the liability or responsibility all persons, companies or corporations furnishing such information. I understand that any misrepresentation or omission of facts by me in this application is cause for my discharge in the event I am hired. The employment relationship of ClubSport/Oakwood Athletic Club is based on the mutual consent of the employee and the club. The relationship can be terminated at will any time.

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4000 Mt. Diablo Boulevard
Lafayette, CA 94549
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