PLEASE BE AWARE that You may be liable for our reasonable costs for removal of Our Heat Supply Assets where this Contract is terminated. Please see paragraph
PLEASE BE AWARE. In the event a client terminates and/or is discharged from services, Beacon Pediatric Behavioral Health reserves the right to terminate the payment plan agreement and require that the entire balance be paid in full within one week of the client’s last appointment. Upon termination/discharge of services, you remain responsible for any balance due for services previously rendered, regardless of your child’s status as an active or inactive client. Please understand that payments plans are only approved on occasion due to unique extenuating circumstances, and if provided, is done so as a courtesy; such agreements include very specific and stringent guidelines and timelines that MUST be abided by, as the agreement will be immediately rendered null and void following the breach of any aspect of the agreement, defaulting to the requirement for the client to therefore immediately pay the entire balance due in whole. PLEASE COMPLETE, SIGN, AND ATTEST TO THE FOLLLOWING
PLEASE BE AWARE that this contract will not be approved until payment of the deposit has been received. Date: Name: Address: City: State: Zip Code: Telephone: Email Address: Organization Name: Telephone: Facility or Room preferred: Preferred Date: Activity being held: Length of use: Start Time: End Time: Estimated number of participants: Alcohol Permitted?: Minors Involved?: Please describe event in detail: Insurance required: YES NO (if yes, Insurance Certificate must be provided) Special Needs: Rental Fee: $ Date Paid: Received by: Deposit Fee: $ Date Paid: Received by: Balance: $ Date Paid: Received by: I certify that the information given above is true to the best of my knowledge, and I have been given and read the Guidelines for City facilities and the Code of Conduct for City Facilities. I understand that this agreement shall be null and void if any of the above information is found to be false or if any portion of the guidelines are violated during my use of a City facility. Failure to follow the Guidelines for Use of City of Laurel Recreation Facilities and the Codes of Conduct may result in forfeiture of the facility security deposit. DATE: Applicant’s Signature NOTE: For events concerning minors, security is required and must be provided at the Renter’s expense. PLEASE RETURN APPLICATION TO THE FACILITY WITH YOUR DEPOSIT OR MAIL THE APPLICATION WITH A CHECK OR MONEY ORDER (DO NOT SEND CASH) TO THE LISTED ADDRESS: City of Laurel Recreation Dept. ATTN:FACILITY RENTAL P.O. Box 647 Laurel MS 39441 (For office use only) Date: Approved: YES NO If no, reason: CITY OF LAUREL RECREATION DEPARTMENT GUIDELINES FOR USE AND RULES OF CONDUCT
PLEASE BE AWARE that where:
PLEASE BE AWARE. Major problems that can arise are few but costly. The value of the watercraft can exceed $85,000 for full replacement and repairs can reach into thousands of dollars. Boat Rental Agreement
PLEASE BE AWARE that the equipment remains the property of the school and is loaned solely for the purposes of assisting students with their school work and in support of educational research and learning. Equipment and access is modified to help ensure that it is protected from accidental or deliberate misuse, and systems are in place to help safeguard users from access to inappropriate, harmful or unsuitable content. Nevertheless, the student to whom equipment is loaned is ultimately responsible for ensuring that it is used properly. It is important that you are responsible users of the equipment and know how to use it safely. If there are any technical issues you must email xxxx@xxx.xxxxxxxx.xxx.xx, if you encounter any content which makes you feel uncomfortable or which you feel may be inappropriate you must email xxxxx@xxx.xxxxxxxx.xxx.xx In addition, we ask that you read and agree to the following: • I will not access or try to access any material on the Internet or elsewhere that would be considered offensive or inappropriate in the judgement of the Headteacher because of pornographic, racist, violent, illegal, illicit or other content. • I understand my activity when using this equipment, or school systems like Google Classrooms, email, Show My Homework and Google Drive can be monitored and that my activity may be scanned from time to time to ensure I am using the equipment properly • The equipment has effective web content filtering, but not all offensive or inappropriate material is automatically detected. I will not try to “cheat” the filtering system, or search for information of an offensive nature. • I will be courteous and considerate in my use of ICT. I will refrain from using obscene, harassing or abusive language or images • I am responsible for monitoring and appropriately rejecting materials, links, and information accessed/received by me. • I understand that all activity conducted on my accounts (using my username and password) is ultimately my responsibility. I will keep my usernames and passwords private. • I will not reveal personal information, including names, addresses, credit card details and telephone numbers of others or myself to anyone over the Internet • I understand the school has the right to take action against me in incidents of inappropriate behaviour that involve my membership of the school community even when I am out of school (examples would be cyber-bullying, or use of images or personal information about people in the school). I...
PLEASE BE AWARE. If there is a 2 week or greater lapse between appointments that is not prescribed by your doctor or medically necessary you will be discharged from therapy. A physical examination by your doctor and a new physical therapy prescription is required prior to your return. Additionally, your insurance plan will review this new request to determine the medical necessity of continued physical therapy. Facilitating your healing is a mutual goal; please assist us by making arrangements to keep all of your scheduled appointments. Thank you. Patient Signature:______________________________________________ Date: ____________________ If Patient is a minor, Parent or Legal Guardian must sign below: Signature:__________________________________ Date: ___________ Relationship: _______________
PLEASE BE AWARE that You may be liable for significant charges, including a Cancellation Charge, where You terminate this Contract.
PLEASE BE AWARE. By accepting the terms of this document, the Student (the “Student”) and the Student’s parent or legal guardian (the “Parent”) are waiving certain legal rights, including the right to xxx. Please read and be certain you understand the implications of accepting the terms of this document. The Student and Parent do hereby affirm and acknowledge the inherent hazards and risks associated with participating in a recital or theatrical production. The Student and Parent understand that such productions may involve physical movement and dance, as well as the operation of lights and other equipment that could result in physical injury or even death. Therefore, the Student and Parent do hereby release, waive, discharge, and agree not to xxx Acting Academy for Kids, Inc. (“AA4K”), the theatrical facility, or any associated producer, including but not limited to The Gate, the South Orange County Community Theatre DBA Camino Real Playhouse and Capistrano Shakespeare Festival and Capistrano Acting Academy, Community Roots Academy, and/or any other academic or educational institution with which AA4K may partner with from time-to-time for a specific production (the “Theatrical Partners”). The Student and Parent expressly assume full responsibility for any risk of bodily injury, death, or property damage, now and forever, arising out of participation in any theatrical production or related operations, including rehearsal and backstage, and performances (“Theater Work”) whether foreseen or unforeseen, and whether caused by the negligence of AA4K, the Theatrical Partners, or otherwise. The Student and Parent expressly agree to save and hold harmless AA4K, the Theatrical Partners, as well as their agents, officers, directors, trustees, advisors, employees, contractors, members, insurers, successors, and assigns (collectively, “Agents”) from any claims, liabilities, losses, demands, damages, causes of action, or costs including without limitations attorneys fees (collectively, “Claims”) arising out of or in connection with my attendance at or participation in the Theatre Work, even though the Claims may arise out of the negligent acts or omissions on the part of AA4K, the Theatrical Partners, and/or their Agents.
PLEASE BE AWARE. Northern Minnesota is a beautiful area, but there are dangers. Hiking, swimming, boating, etc are done at your own risk. Please use caution and common sense when outdoors. Be aware of unsafe terrain (loose rocks, dead trees, fast rivers) and use good judgment. There is no access to the water on our property. We restrict children to over 10 years of age at our property due to the 40 foot cliff the property overlooks and ask you not to go beyond the hedge for your own safety. Please supervise your children while outside and always use life jackets when boating. We want everyone to have a safe and healthy vacation! Directions Coming From Duluth, MN. Coming from Duluth, take Highway 61 approximately 1 ½ hours. After you go through the town of Tofte look for County Road 34 on your right. The road is between mile markers 88 and 89 and is 5.7 miles from Tofte. (If you see the Lutsen Resort you have gone too far.) When you turn right to County Road 34, make a left at the end of the exit on Xxxxxxx Creek Road (which is really County Road 34) and Horizon is the first driveway on your right. Horizon is fire post # 24 or look for the Horizon sign in the summer to mark the driveway. Directions Coming From Canada & Grand Marais, MN Take Highway 61 and go toward Duluth. Go through the township of Lutsen. Right after you pass the Lutsen Resort, look for County Road 34 on your left. This road is between mile marker 89 and 88. When you turn left to County Road 34 make a left at the end of the exit on Xxxxxxx Creek Road (really County Road 34) and Horizon is the first driveway on your right. Horizon is fire post #24 or look for the Horizon sign in the summer to mark the driveway.
