Common use of Knowing and Voluntary Execution Clause in Contracts

Knowing and Voluntary Execution. I have carefully read and understand this Agreement and Release and any questions of mine have been answered. I am aware that this is a contract and a release of liability between myself and the Released Parties and the Program which binds the Minor and me. I have signed this Agreement and Release voluntarily and of my own free will. I certify that the Minor is fourteen years of age or older. . Executed in (City) , Virginia, on (date) Minor Name Minor’s Signature Parent/Guardian Name Parent/Guardian’s Signature Parent/Guardian Address City State Zip code Email: Witness Date Group Email PDF to: xxxx@xxxxxxxxxxxxxxxxxx-xxx.xxx or call 000-000-0000 for additional information Name of minor: (Please print) I represent and warrant to Rebuilding Together Arlington/Fairfax/Falls Church, Inc. (RT-AFF) that I/We am/are the parent(s) or legal guardian(s) of the minor named above. The above named minor has my/our permission to participate in the RT-AFF program (the “Program). On behalf of such minor and myself/ourselves I have signed a Volunteer Agreement and Release From Liability Form – Minor (the “Release”) and hereby agree to all of the terms and conditions of the release. In case of medical or dental emergency, I request that RT-AFF attempt to contact me at the telephone number set forth below. However, I hereby give permission to the physician or dentist selected by RT-AFF to hospitalize, treat, secure proper treatment for, and order injections, anesthesia or surgery for the minor named above. A copy of this permission form may be accepted by and treated by the physician or dentist as equivalent to the original permission form. _ Name of Parent/Guardian (Please print) Signature Address: Phone: Date: 1 Medical Insurance Carrier: Policy #:

Knowing and Voluntary Execution. I have carefully read and understand this Agreement and Release and any questions of mine have been answered. I am aware that this is a contract and a release of liability between myself and the Released Parties and the Program which binds the Minor and me. I have signed this Agreement and Release voluntarily and of my own free will. I certify that the Minor is fourteen years of age or older. I agree that this Agreement and Release governs all of the Minor’s volunteer activities with RT-AFF during the calendar year 2021 and that I will be required to sign a new Agreement and Release if the Minor intends to volunteer for any succeeding years. . Executed in (City) , Virginia, on (date) Minor Name Minor’s Signature Parent/Guardian Name Parent/Guardian’s Signature Parent/Guardian Address City State Zip code Email: Witness Date Group Email PDF to: xxxx@xxxxxxxxxxxxxxxxxx-xxx.xxx or call 000-000-0000 for additional information Name of minor: (Please print) I represent and warrant to Rebuilding Together Arlington/Fairfax/Falls Church, Inc. (RT-AFF) that I/We am/are the parent(s) or legal guardian(s) of the minor named above. The above named minor has my/our permission to participate in the RT-AFF program (the “Program). On behalf of such minor and myself/ourselves I have signed a Volunteer Agreement and Release From Liability Form – Minor (the “Release”) and hereby agree to all of the terms and conditions of the release. In case of medical or dental emergency, I request that RT-AFF attempt to contact me at the telephone number set forth below. However, I hereby give permission to the physician or dentist selected by RT-AFF to hospitalize, treat, secure proper treatment for, and order injections, anesthesia or surgery for the minor named above. A copy of this permission form may be accepted by and treated by the physician or dentist as equivalent to the original permission form. _ Name of Parent/Guardian (Please print) Signature Address: Phone: Date: 1 Medical Insurance Carrier: Policy #:

Knowing and Voluntary Execution. I have carefully read this agreement and fully understand this Agreement and Release and any questions of mine have been answeredits contents. I am aware that this is a contract between me and Rebuilding Together Petaluma and a release of liability between myself and the Released Parties and the Program which binds the Minor and mepromise not to sue Rebuilding Together Petaluma. I have signed this Agreement and Release voluntarily and sign it of my own free will. I understand that I would not be allowed to participate in the program unless I signed this agreement. by signing this agreement, I certify that the Minor is fourteen I am eighteen years of age or older. older or have delivered the consent of my parent or guardian to Rebuilding Together Petaluma. Executed in (City) , Virginia, on (date) Minor Name Minor’s Signature Parent/Guardian Name Parent/Guardian’s Signature Parent/Guardian , 2010 Email address (Signature) Volunteer Address City State Zip code Email: Witness Date Group Email PDF to: xxxx@xxxxxxxxxxxxxxxxxx-xxx.xxx or call 000-000-0000 for additional information Name of minor: Volunteer (Please please print) Signature of parent or legal guardian if volunteer is not eighteen years or older. City ST Zip Area Code Phone # Name of Minor: I represent and warrant to Rebuilding Together Arlington/Fairfax/Falls Church, Inc. (RT-AFF) Petaluma that I/We am/are I am the parent(s) parent or legal guardian(s) guardian of the minor named above. The above named minor has my/our my permission to participate in the RT-AFF program Rebuilding Together Petaluma Home Repair Program (the “Program”). On behalf of such minor and myself/ourselves , I have signed a Volunteer Agreement Volunteer’s Agreement, Release and Release From Liability Form – Minor Indemnification (the “ReleaseVolunteer’s Agreement”) and hereby agree to all of the terms and conditions of the releaseVolunteer’s Agreement. In case of medical or dental emergency, I request that RT-AFF Rebuilding Together Petaluma attempt to contact me at the telephone number set forth below. However, I hereby give permission to the physician or dentist selected by RT-AFF Rebuilding Together Petaluma to hospitalize, treat, secure proper treatment for, and order injections, anesthesia or surgery for the minor named above. A copy of this permission form treatment authorization may be accepted by and treated by the any hospital, medical facility, physician or dentist as equivalent to the original permission formtreatment authorization. _ Name Date Signature of Parent/Guardian (Please print) Signature Address: Phone: Date:Telephone 1 1. Medical Insurance Carrier: Policy #Number: 2. Family Doctor: Address: Telephone: ( ) 3. Family Dentist/Orthodontist: Address: Telephone: ( ) 4. Any drug or food allergies: 5. Limitation on activities: 6. If I cannot be reached, please contact: Telephone: ( )

Knowing and Voluntary Execution. I have carefully read and understand this Agreement and Release and any questions of mine have been answered. I am aware that this is a contract and a release of liability between myself and the Released Parties and the Program which binds the Minor and me. I have signed this Agreement and Release voluntarily and of my own free will. I certify that the Minor is fourteen years of age or older. I agree that this Agreement and Release governs all of the Minor’s volunteer activities with RT-AFF during the calendar year 2022 and that I will be required to sign a new Agreement and Release if the Minor intends to volunteer for any succeeding years. . Executed in (City) , Virginia, on (date) Minor Name Minor’s Signature Parent/Guardian Name Parent/Guardian’s Signature Parent/Guardian Address City State Zip code Email: Witness Date Group Email PDF to: xxxx@xxxxxxxxxxxxxxxxxx-xxx.xxx or call 000-000-0000 for additional information Name of minor: (Please print) I represent and warrant to Rebuilding Together Arlington/Fairfax/Falls Church, Inc. (RT-AFF) that I/We am/are the parent(s) or legal guardian(s) of the minor named above. The above named minor has my/our permission to participate in the RT-AFF program (the “Program). On behalf of such minor and myself/ourselves I have signed a Volunteer Agreement and Release From Liability Form – Minor (the “Release”) and hereby agree to all of the terms and conditions of the release. In case of medical or dental emergency, I request that RT-AFF attempt to contact me at the telephone number set forth below. However, I hereby give permission to the physician or dentist selected by RT-AFF to hospitalize, treat, secure proper treatment for, and order injections, anesthesia or surgery for the minor named above. A copy of this permission form may be accepted by and treated by the physician or dentist as equivalent to the original permission form. _ Name of Parent/Guardian (Please print) Signature Address: Phone: Date: 1 Medical Insurance Carrier: Policy #: