Spin Master Innovation Fund

Consent Form

Please ensure that this form is filled out properly

to avoid any delays in the application process

______

Authorization of Credit Check

This form is my irrevocable authorization for CYBF to conduct a credit check on me, which is a mandatory part of my loan application. I understand that further processing of my loan application will not take place until this Consent Form has been signed and received by CYBF. Once completed, I will be contacted by CYBF, who will provide me with guidance on the completion of my application.

PLEASE FILL OUT FORM IN CAPITAL LETTERS (IF APPLICABLE)
Applicant Name:
Personal Address:
Date of Birth(DD/MM/YYYY):
Business Name:
Date:
Signature:

Authorization for Background Check

I have submitted an application for the Spin Master Innovation Fund (SMIF) program and as such I hereby authorize Garda, to obtain information by telephone or in writing with any Provincial/Judicial court in Canada. The institutions/persons mentioned are authorized to supply and release the information requested to Garda. Garda is authorized to release the finding of the report to CYBF. CYBF may share the contents of such report with other parties involved in the administration of the SMIF including but not limited to Entrepreneur Gateway Canada, HSBC and Spin Master Ltd. (“SMIF Parties”). I consent to CYBF making inquiries of me regarding the results of this background check in order to reach a decision on my application and to administer an eventual loan, if deemed necessary.

I, for myself, my heirs, executors, administrators, successors and assigns hereby release, waive and forever discharge anyone who provides information in relation to this release from any and all liability for the disclosure of information to Garda or toCYBFand the SMIF Parties, including all claims, demands, damages, costs, actions and causes of action, howsoever caused or arising, in respect of death, injury, illness, loss or damage of any nature which may be sustained by me or by any other person as a result thereof, or connected thereto.

I understand that this information will be kept strictlyconfidential by Garda, CYBF, and the SMIF Parties,however understand that after disclosing this information to Garda and CYBF and the SMIF Parties that all the aforesaid waive any responsibility for its use, application and/or dissemination by CYBFand the SMIF Parties.

I certify that the information set out by me in this application is true and correct to the best of my ability. Before signing this Waiver and Authorization, I have fully informed myself of its content and meaning and have a full understanding of it.

Date: ______

Applicant Signature: ______

Please return thissigned completed consent form to CYBFby email at

Thank you for completing the application for the Spin Master Innovation Fund!