Common use of Knowing and Voluntary Execution Clause in Contracts

Knowing and Voluntary Execution. I have carefully read this agreement and fully understand its contents. I am aware that this is a contract between me and Rebuilding Together Petaluma and a release of liability and promise not to sue Rebuilding Together Petaluma. I 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 I am eighteen years of age or older or have delivered the consent of my parent or guardian to Rebuilding Together Petaluma. Executed on (date) , 2010 Email address (Signature) Volunteer Address Name of Volunteer (please print) Signature of parent or legal guardian if volunteer is not eighteen years or older. City ST Zip Area Code Phone # Medical Treatment Authorization For Participating Minor (Must be accompanied by Volunteer Agreement form signed by parent or guardian) Name of Minor: I represent and warrant to Rebuilding Together Petaluma that I am the parent or legal guardian of the minor named above. The above named minor has my permission to participate in the Rebuilding Together Petaluma Home Repair Program (the “Program”). On behalf of such minor and myself, I have signed a Volunteer’s Agreement, Release and Indemnification (the “Volunteer’s Agreement”) and hereby agree to all of the terms and conditions of the Volunteer’s Agreement. In case of medical or dental emergency, I request that Rebuilding Together Petaluma attempt to contact me at the telephone number set forth below. However, I give permission to the physician or dentist selected by Rebuilding Together Petaluma to hospitalize, treat, secure treatment for, and order injections, anesthesia or surgery for the minor named above. A copy of this treatment authorization may be accepted by and treated by any hospital, medical facility, physician or dentist as equivalent to the original treatment authorization. ( ) Date Signature of Parent/Guardian Telephone PLEASE COMPLETE THE FOLLOWING:

Knowing and Voluntary Execution. I have carefully read and understand this agreement Agreement and fully understand its contentsRelease and any questions of mine have been answered. I am aware that this is a contract between me and Rebuilding Together Petaluma and a release of liability between myself and promise not to sue Rebuilding Together Petalumathe Released Parties and the Program which binds the Minor and me. I sign it have signed this Agreement and Release voluntarily and 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 I am eighteen the Minor is fourteen years of age or older or have delivered the consent of my parent or guardian to Rebuilding Together Petalumaolder. . Executed in (City) , Virginia, on (date) Minor Name Minor’s Signature Parent/Guardian Name Parent/Guardian’s Signature Parent/Guardian Address Street Phone City State Zip code Email: Witness Date Group This form must be completed prior to any volunteer activities and given to the team leader, 2010 kept on site during the work day and returned to: Rebuilding Together-AFF, 00000 Xxxx Xxxxxx, Xxxxx 000, Xxxxxxx, XX 00000 Email address PDF to: xxxx@xxxxxxxxxxxxxxxxxx-xxx.xxx or call 000-000-0000 for additional information Rebuilding Together Arlington/Fairfax/Falls Church, Inc. MEDICAL TREATMENT AUTHORIZATION FOR PARTICIPATING MINOR (Signatureat least 14 years old) Volunteer Address Name of Volunteer (please print) Signature of parent or legal guardian if volunteer is not eighteen years or older. City ST Zip Area Code Phone # Medical Treatment Authorization For Participating Minor (Must be accompanied by Volunteer Agreement form signed by parent or guardianand Release from Liability – Minor) Name of Minorminor: (Please print) I represent and warrant to Rebuilding Together Petaluma Arlington/Fairfax/Falls Church, Inc. (RT-AFF) that I am I/We am/are the parent parent(s) or legal guardian guardian(s) of the minor named above. The above named minor has my my/our permission to participate in the Rebuilding Together Petaluma Home Repair Program RT-AFF program (the “Program”). On behalf of such minor and myself, /ourselves I have signed a Volunteer’s Agreement, Volunteer Agreement and Release and Indemnification From Liability Form – Minor (the “Volunteer’s AgreementRelease”) and hereby agree to all of the terms and conditions of the Volunteer’s Agreementrelease. In case of medical or dental emergency, I request that Rebuilding Together Petaluma 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 Rebuilding Together Petaluma RT-AFF to hospitalize, treat, secure proper treatment for, and order injections, anesthesia or surgery for the minor named above. A copy of this treatment authorization permission form may be accepted by and treated by any hospital, medical facility, the physician or dentist as equivalent to the original treatment authorizationpermission form. ( ) Date Signature _ Name of Parent/Guardian Telephone PLEASE COMPLETE THE FOLLOWING(Please print) Signature Address: Phone: Date:

Knowing and Voluntary Execution. I have carefully read and understand this agreement Agreement and fully understand its contentsRelease and any questions of mine have been answered. I am aware that this is a contract between me and Rebuilding Together Petaluma and a release of liability between myself and promise not to sue Rebuilding Together Petalumathe Released Parties and the Program which binds the Minor and me. I sign it have signed this Agreement and Release voluntarily and 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 I am eighteen the Minor is fourteen years of age or older or have delivered older. I agree that this Agreement and Release governs all of the consent of my parent or guardian Minor’s volunteer activities with RT-AFF during the calendar year 2021 and that I will be required to Rebuilding Together Petalumasign 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 Street Phone City State Zip code Email: Witness Date Group Complete prior to volunteer activities and return to: Rebuilding Together-AFF, 2010 00000 Xxxx Xxxxxx, Xxxxx 000, Xxxxxxx, XX 00000 Email address PDF to: xxxx@xxxxxxxxxxxxxxxxxx-xxx.xxx or call 000-000-0000 for additional information Rebuilding Together Arlington/Fairfax/Falls Church, Inc. MEDICAL TREATMENT AUTHORIZATION FOR PARTICIPATING MINOR (Signatureat least 14 years old) Volunteer Address Name of Volunteer (please print) Signature of parent or legal guardian if volunteer is not eighteen years or older. City ST Zip Area Code Phone # Medical Treatment Authorization For Participating Minor (Must be accompanied by Volunteer Agreement form signed by parent or guardianand Release from Liability – Minor) Name of Minorminor: (Please print) I represent and warrant to Rebuilding Together Petaluma Arlington/Fairfax/Falls Church, Inc. (RT-AFF) that I am I/We am/are the parent parent(s) or legal guardian guardian(s) of the minor named above. The above named minor has my my/our permission to participate in the Rebuilding Together Petaluma Home Repair Program RT-AFF program (the “Program”). On behalf of such minor and myself, /ourselves I have signed a Volunteer’s Agreement, Volunteer Agreement and Release and Indemnification From Liability Form – Minor (the “Volunteer’s AgreementRelease”) and hereby agree to all of the terms and conditions of the Volunteer’s Agreementrelease. In case of medical or dental emergency, I request that Rebuilding Together Petaluma 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 Rebuilding Together Petaluma RT-AFF to hospitalize, treat, secure proper treatment for, and order injections, anesthesia or surgery for the minor named above. A copy of this treatment authorization permission form may be accepted by and treated by any hospital, medical facility, the physician or dentist as equivalent to the original treatment authorizationpermission form. ( ) Date Signature _ Name of Parent/Guardian Telephone PLEASE COMPLETE THE FOLLOWING(Please print) Signature Address: Phone: Date:

Knowing and Voluntary Execution. I have carefully read this agreement and fully understand its contentscontents including the terms of the waiver in Paragraphs 2 and 3 above. I am aware that this is a contract between me and Rebuilding Together Petaluma and a release of liability between myself and promise not to sue Rebuilding Together Petaluma. RT-AFF and the Program which binds Minor and me, and I 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 By signing this agreement, I certify that I am eighteen Minor is fourteen years of age or older or have delivered the consent of my parent or guardian to Rebuilding Together Petalumaolder. Executed in (City) , Virginia, on (date) Minor Name Minor’s Signature Parent/Guardian Name Parent/Guardian’s Signature Parent/Guardian Address Street Phone City State Zip code Email: Witness Date Group This form must be completed prior to any volunteer activities, 2010 Email address keep on site during the workday and returned to Rebuilding Together-AFF, 00000 Xxxx Xx, #000, Xxxxxxx, XX 00000 PDF: xxxx@xxxxxxxxxxxxxxxxxx-xxx.xxx Phone: 000-000-0000 MEDICAL TREATMENT AUTHORIZATION FOR PARTICIPATING MINOR (Signatureat least 14 years old) Volunteer Address Name of Volunteer (please print) Signature of parent or legal guardian if volunteer is not eighteen years or older. City ST Zip Area Code Phone # Medical Treatment Authorization For Participating Minor (Must be accompanied by Volunteer Agreement form signed by parent or guardianand Release from Liability – Minor) Name of Minorminor: (Please print) I represent and warrant to Rebuilding Together Petaluma Arlington/Fairfax/Falls Church, Inc. (RT-AFF) that I am I/We am/are the parent parent(s) or legal guardian guardian(s) of the minor named above. The above named minor has my my/our permission to participate in the Rebuilding Together Petaluma Home Repair Program RT-AFF program (the “Program”). On behalf of such minor and myself, /ourselves I have signed a Volunteer’s Agreement, Volunteer Agreement and Release and Indemnification From Liability Form – Minor (the “Volunteer’s AgreementRelease”) and hereby agree to all of the terms and conditions of the Volunteer’s Agreementrelease. In case of medical or dental emergency, I request that Rebuilding Together Petaluma 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 Rebuilding Together Petaluma RT-AFF to hospitalize, treat, secure proper treatment for, and order injections, anesthesia or surgery for the minor named above. A copy of this treatment authorization permission form may be accepted by and treated by any hospital, medical facility, the physician or dentist as equivalent to the original treatment authorizationpermission form. ( ) Date Signature of Parent/Guardian Telephone PLEASE COMPLETE THE FOLLOWING:Date Phone Address 1 Medical Insurance Carrier Policy Number 2 Family Doctor Address Phone 3 Family Dentist/Orthodontist Address Phone 4 Any Drug or Food Allergies 5 Limitation on Activities 6 If I cannot be reached, please contact Phone This form must be completed prior to any volunteer activities, keep on site during the workday and returned to

Knowing and Voluntary Execution. I have carefully read and understand this agreement Agreement and fully understand its contentsRelease and any questions of mine have been answered. I am aware that this is a contract between me and Rebuilding Together Petaluma and a release of liability between myself and promise not to sue Rebuilding Together Petalumathe Released Parties and the Program which binds the Minor and me. I sign it have signed this Agreement and Release voluntarily and 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 I am eighteen the Minor is fourteen years of age or older or have delivered older. I agree that this Agreement and Release governs all of the consent of my parent or guardian Minor’s volunteer activities with RT-AFF during the calendar year 2022 and that I will be required to Rebuilding Together Petalumasign 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 Street Phone City State Zip code Email: Witness Date Group Complete prior to volunteer activities and return to: Rebuilding Together-AFF, 2010 00000 Xxxx Xxxxxx, Xxxxx 000, Xxxxxxx, XX 00000 Email address PDF to: xxxx@xxxxxxxxxxxxxxxxxx-xxx.xxx or call 000-000-0000 for additional information Rebuilding Together Arlington/Fairfax/Falls Church, Inc. MEDICAL TREATMENT AUTHORIZATION FOR PARTICIPATING MINOR (Signatureat least 14 years old) Volunteer Address Name of Volunteer (please print) Signature of parent or legal guardian if volunteer is not eighteen years or older. City ST Zip Area Code Phone # Medical Treatment Authorization For Participating Minor (Must be accompanied by Volunteer Agreement form signed by parent or guardianand Release from Liability – Minor) Name of Minorminor: (Please print) I represent and warrant to Rebuilding Together Petaluma Arlington/Fairfax/Falls Church, Inc. (RT-AFF) that I am I/We am/are the parent parent(s) or legal guardian guardian(s) of the minor named above. The above named minor has my my/our permission to participate in the Rebuilding Together Petaluma Home Repair Program RT-AFF program (the “Program”). On behalf of such minor and myself, /ourselves I have signed a Volunteer’s Agreement, Volunteer Agreement and Release and Indemnification From Liability Form – Minor (the “Volunteer’s AgreementRelease”) and hereby agree to all of the terms and conditions of the Volunteer’s Agreementrelease. In case of medical or dental emergency, I request that Rebuilding Together Petaluma 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 Rebuilding Together Petaluma RT-AFF to hospitalize, treat, secure proper treatment for, and order injections, anesthesia or surgery for the minor named above. A copy of this treatment authorization permission form may be accepted by and treated by any hospital, medical facility, the physician or dentist as equivalent to the original treatment authorizationpermission form. ( ) Date Signature _ Name of Parent/Guardian Telephone PLEASE COMPLETE THE FOLLOWING(Please print) Signature Address: Phone: Date:

Knowing and Voluntary Execution. I have carefully read and understand this agreement Agreement and fully understand its contentsRelease and any questions of mine have been answered. I am aware that this is a contract between me and Rebuilding Together Petaluma and a release of liability between myself and promise not to sue Rebuilding Together Petalumathe Released Parties and the Program which binds the Minor and me. I sign it have signed this Agreement and Release voluntarily and 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 I am eighteen the Minor is fourteen years of age or older or have delivered the consent of my parent or guardian to Rebuilding Together Petalumaolder. . Executed in (City) , Virginia, on (date) Minor Name Minor’s Signature Parent/Guardian Name Parent/Guardian’s Signature Parent/Guardian Address Street Phone City State Zip code Email: Witness Date Group Complete prior to volunteer activities and return to: Rebuilding Together-AFF, 2010 00000 Xxxx Xxxxxx, Xxxxx 000, Xxxxxxx, XX 00000 Email address PDF to: xxxx@xxxxxxxxxxxxxxxxxx-xxx.xxx or call 000-000-0000 for additional information Rebuilding Together Arlington/Fairfax/Falls Church, Inc. MEDICAL TREATMENT AUTHORIZATION FOR PARTICIPATING MINOR (Signatureat least 14 years old) Volunteer Address Name of Volunteer (please print) Signature of parent or legal guardian if volunteer is not eighteen years or older. City ST Zip Area Code Phone # Medical Treatment Authorization For Participating Minor (Must be accompanied by Volunteer Agreement form signed by parent or guardianand Release from Liability – Minor) Name of Minorminor: (Please print) I represent and warrant to Rebuilding Together Petaluma Arlington/Fairfax/Falls Church, Inc. (RT-AFF) that I am I/We am/are the parent parent(s) or legal guardian guardian(s) of the minor named above. The above named minor has my my/our permission to participate in the Rebuilding Together Petaluma Home Repair Program RT-AFF program (the “Program”). On behalf of such minor and myself, /ourselves I have signed a Volunteer’s Agreement, Volunteer Agreement and Release and Indemnification From Liability Form – Minor (the “Volunteer’s AgreementRelease”) and hereby agree to all of the terms and conditions of the Volunteer’s Agreementrelease. In case of medical or dental emergency, I request that Rebuilding Together Petaluma 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 Rebuilding Together Petaluma RT-AFF to hospitalize, treat, secure proper treatment for, and order injections, anesthesia or surgery for the minor named above. A copy of this treatment authorization permission form may be accepted by and treated by any hospital, medical facility, the physician or dentist as equivalent to the original treatment authorizationpermission form. ( ) Date Signature _ Name of Parent/Guardian Telephone PLEASE COMPLETE THE FOLLOWING(Please print) Signature Address: Phone: Date:

Knowing and Voluntary Execution. I have carefully read and understand the provisions and legal consequences of this agreement, and I hereby agree to all of its conditions. I agree that if any portion of this agreement is found to be void or unenforceable, the remaining portions shall remain in full force and fully understand its contents. I am aware that this is a contract between me and Rebuilding Together Petaluma and a release of liability and promise not to sue Rebuilding Together Petaluma. I sign it of my own free willeffect. I understand that I in calculating the cost of the trek, Xxxx Xxxxxxxxxx Himalayan Private Limited has relied on my consent to these terms and their enforceability. Without this agreement, Xxxx Xxxxxxxxxx Himalayan Private Limited would not be allowed able to participate in offer these services. I agree that execution of an electronic transmission of this agreement shall be deemed execution of the program unless original agreement. I signed agree that electronic transmission of an executed copy of this agreement shall constitute acceptance of this agreement. by signing this agreement, I certify that I am eighteen Emergency contact number your signature (18 years of age or older older) Emergency contact name & relationship to you your name (Only blood relative or have delivered spouse) Date: MINORS UNDER 18 YEARS OF AGE – A Parent or Legal Guardian Must Sign This Agreement on the consent of my parent Minor’s Behalf. The Parent or guardian to Rebuilding Together PetalumaGuardian Must Submit Their Own Signed Agreement Separately if also participating in the trek. Executed on (date) , 2010 Email address (Signature) Volunteer Address Name of Volunteer (please print) Signature of parent or legal guardian if volunteer is not eighteen years or older. City ST Zip Area Code Phone # Medical Treatment Authorization For Participating Minor (Must be accompanied by Volunteer Agreement form signed by parent or guardian) Name of Minor: I represent and warrant to Rebuilding Together Petaluma that I am the parent or legal guardian of the minor named aboveminor. The above named minor has I understand the legal consequences of signing this Agreement, including a) releasing Xxxx Xxxxxxxxxx Himalayan Private Limited, from all liability on my permission and the minor’s behalf, b) promising not to participate sue on my and the minor’s behalf, c) assuming all risks of the minor’s participation in the Rebuilding Together Petaluma Home Repair Program (trek, and d) indemnifying Xxxx Xxxxxxxxxx Himalayan Private Limited. I understand that I am responsible for the “Program”)obligations and the acts of the identified minor as described in this document. On behalf I agree to be bound by the terms of such minor and myself, this document. I have signed a Volunteer’s Agreement, Release and Indemnification (the “Volunteer’s Agreement”) and hereby agree to all of the terms and conditions of the Volunteer’s Agreement. In case of medical or dental emergency, I request that Rebuilding Together Petaluma attempt to contact me at the telephone number set forth below. However, I give permission to the physician or dentist selected by Rebuilding Together Petaluma to hospitalize, treat, secure treatment forread this agreement in its entirety, and order injections, anesthesia or surgery for I am signing it freely. No other representations concerning the minor named above. A copy legal effect of this treatment authorization may be accepted by and treated by any hospital, medical facility, physician or dentist as equivalent document have been made to the original treatment authorizationme. ( ) Date Signature of Minor Participant’s Parent/Guardian Telephone PLEASE COMPLETE THE FOLLOWING:Date