Common use of Acknowledgement of Receipt of Copy Clause in Contracts

Acknowledgement of Receipt of Copy. I acknowledge receiving g a copy of this Agreement and understand the terms and conditions under which the person who I have selected as a Private Service Provider may provide services to my child at a Xxxxx County Public School. Parent/Guardian/Educational Surrogate Requesting Services Signed Print Name

Appears in 4 contracts

Samples: Private Service Provider Access Agreement, Private Service Provider Access Agreement, Private Service Provider Access Agreement

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Acknowledgement of Receipt of Copy. I acknowledge receiving g a copy of this Agreement and understand the terms and conditions under which the person who I have selected as a Private Service Provider may provide services to my child child, , at a Xxxxx Duval County Public School. Parent/Guardian/Educational Surrogate Requesting Services Signed Parent Signature Print Name

Appears in 3 contracts

Samples: Private Service Provider Access Agreement, Private Service Provider Access Agreement, Private Service Provider Access Agreement

Acknowledgement of Receipt of Copy. I acknowledge receiving g a copy of this Agreement and understand the terms and conditions under which the person who I have selected as a Private Service Provider may provide services to my child child, , at a Xxxxx County Public School. Parent/Guardian/Educational Surrogate Requesting Services Signed Parent Signature Print Name

Appears in 2 contracts

Samples: Private Service Provider Access Agreement, Private Service Provider Access Agreement

Acknowledgement of Receipt of Copy. I acknowledge receiving g a copy of this Agreement and understand the terms and conditions under which the person who I have selected as a Private Service Provider may provide services to my child at a Xxxxx County Public School. Parent/Guardian/Educational Surrogate Requesting Services Signed Parent Signature Print Name

Appears in 1 contract

Samples: Private Service Provider Access Agreement

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Acknowledgement of Receipt of Copy. I acknowledge receiving g a copy of this Agreement and understand the terms and conditions under which the person who I have selected as a Private Service Provider may provide services to my child at a Xxxxx County Public School. Parent/Guardian/Educational Surrogate Requesting Services Signed Print Name

Appears in 1 contract

Samples: Private Service Provider Access Agreement

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