Instructor Certification Affidavit
1The affiant
This affidavit is made by the party responsible for delivering the camp instructors.
| Affiant | MetAiBlock LLC |
| Address | 4581 Weston Rd, PMB 163, Weston, FL 33331 |
| future@metaiblock.com | |
| Phone | 305-851-1647 |
| Made to | City of Miramar, Florida |
The undersigned is an authorized representative of MetAiBlock LLC. Being first duly sworn, the affiant states the following, based on personal knowledge and true to the best of the affiant's knowledge.
2Statements affirmed
MetAiBlock LLC affirms each of the following as true and correct.
- The two instructors provided for the camp are Broward County certified teachers.
- Both instructors have passed a Level 2 background check, including FDLE and FBI fingerprint screening.
- MetAiBlock LLC is responsible for having these instructors on site for teacher training (two evenings at Ansin Sports Complex: Monday, November 9 and Tuesday, November 10, 2026, 4:00pm to 8:00pm), for the camp (Saturdays November 14, November 21, December 5 and December 12, 2026, at Ansin Sports Complex) and for the showcase (Saturday, December 19, 2026), and for their supervision of the students at all times during program hours.
3The instructors
The two certified instructors covered by this affidavit are listed below.
| # | Instructor name | Florida certificate number |
|---|---|---|
| 1 | [full name] | [cert #] |
| 2 | [full name] | [cert #] |
Bracketed fields are filled in before signing.
4Affirmed by
Signed by the authorized representative of the affiant.
MetAiBlock LLC
5Notary acknowledgment
State of Florida
County of ________________________
Sworn to and subscribed before me this ______ day of ________________, 2026, by Charles Smart, as authorized representative of MetAiBlock LLC, who is personally known to me or produced ________________________ as identification.