PLEASE READ AND SIGN BELOW. The undersigned, designated as representative for Exhibitor with contract signing authority, hereby contracts with the Texas Nursery & Landscape Association for participation in the above-referenced EXPO. All parties agree to be bound by the provisions of this contract, the Nursery/Landscape EXPO Exhibitor Policy Manual, the Exhibitor Service Manual, and such additional rules and regulations as may be adopted by the Board of Directors of the Texas Nursery & Landscape Association and/or the Nursery/Landscape EXPO Management. By signing agreement, Exhibitor also agrees to update product listing online for use in the printed EXPO Program publication.
PLEASE READ AND SIGN BELOW. The undersigned has read and voluntarily signs the Patron Agreement and further agrees that no oral representations, statements of inducement apart from the foregoing written agreement have been made. Please see Payment Information on options. Signature: Date: NEW MEMBER INFO SHEET PRIMARY PATRON □ Mr. □ Mrs. □ Ms. □ Miss □ Dr. □ Other: First Name: MI: Last Name: Have you previously been an MGC member? □ Y □ N DOB: / / □ Male □ Female □ Prefer not to answer Marital Status: □ Married □ Partnered □ Single □ Prefer not to answer E-Mail Address: Home Address: City: State: ZIP: Home Phone: ( ) - Cell Phone: ( ) - Employer: Occupation: SECONDARY PATRON □ Mr. □ Mrs. □ Ms. □Miss □ Dr. □ Other: First Name: MI: Last Name: Have you previously been an MGC member? □ Y □ N DOB: / / □ Male □ Female □ Prefer not to answer Marital Status: □ Married □ Partnered □ Single □ Prefer not to answer E-Mail Address: Home Address: □ Same as Primary Patron City: State: ZIP: Home Phone: ( ) - Cell Phone: ( ) - Employer: Occupation: CHILDREN First Name: Last Name: Sex: □ M □ F DOB: _ / / First Name: Last Name: Sex: □ M □ F DOB: _ / / First Name: Last Name: Sex: □ M □ F DOB: _ / / First Name: Last Name: Sex: □ M □ F DOB: _ / / EMERGENCY CONTACT Name: Relation to Applicant Home Phone: ( ) - Cell Phone: ( ) -
PLEASE READ AND SIGN BELOW. A new or transferring student will have a probationary period equal to 30 school days. During these 30 days, the student’s progress will be evaluated. Upon this evaluation, acceptance may be cancelled and enrollment withdrawn for any reason by either the school or by the student’s parent(s). Should this be necessary, tuition charges will be pro-rated to the actual number of days of the enrollment. The school or parent(s) shall give 10 days’ notice of the intention of disenrollment of the student prior to the end of the probation period. After the probation period has elapsed and no such notice has been given, responsibility for payment of tuition will be determined by current school policy. We hereby agree to make all payments due pursuant to the provision of the tuition schedule attached, including but not limited to all registration fees, tuition, and all other fees set forth herein above. We agree to contact the administrator should financial difficulties arise. In the event that tuitions are not paid within 30 days of the date due, a $25 penalty shall accrue each month until the outstanding sum is paid. In the event an account is placed into the hands of an attorney for the purpose of collection, we will agree to be responsible for all reasonable attorney fees, which shall not be less than 20% of the outstanding amount due or $500 whichever is greater. Furthermore, we acknowledge that the school reserves the right to terminate the educational agreement in the event of nonpayment which shall be a non-exclusive remedy. Further, all records relating to our child shall not be turned over or released from Lighthouse Christian Academy to any future schools of attendance, until full payment is provided. Person(s) responsible for tuition payment: Name Relationship to child Signature Date Name Relationship to child Signature Date ********** Yes…please sign me up to receive PTF emails regarding upcoming events and volunteer opportunities! If there is a grandparent or other close relative that would like to be included in these, please list their name and email below:
PLEASE READ AND SIGN BELOW. 1. I give my permission for my child to attend and participate in all activities and field trips associated with the YWCA Homewood- Brushton Child Care Center. I understand that my signature indicates permission.
PLEASE READ AND SIGN BELOW. 1. The Chief Seattle Council requires the following documents be submitted upon reserving the facilities:
PLEASE READ AND SIGN BELOW. I acknowledge and understand there are separate permit submittals required for any new or altered fire protection system as indicated above; and that the failure to follow the submittal requirements may affect the granting of any occupancy of the structure or space. Name (print) Signature Company Name (print) Date Please be aware that fire protection permit applications must be issued prior to the scheduling of the “Above Ceiling inspection” (commercial). Failure to have received this approval will result in the immediate cancellation of this inspection until approval is granted. K:\1-Building Permits\Forms (Public & Web)\1-Ready Forms\FP-Letter-Of-Understanding (Commercial) - 11-8-23.Docx FORM 6.2 Village of Northbrook Development & Planning Services 0000 Xxxxx Xxxx Northbrook, IL 60062 000 000-0000 Xxxxxxx@xxxxxxxxxx.xx.xx xxx.xxxxxxxxxx.xx.xx CONTRACTOR(S) OF RECORD **IMPORTANT – Must be completed before permit can be issued** This completed form can be submitted anytime during review process or at permit pick up. It is the applicant’s responsibility to COLLECT ALL REQUIRED DOCUMENTS (requirements of each contractor are listed below) and submit all together to the Village. Permit Address: Date: General Contractor: ♦ Contractor must have a current Village License Name: Address: City, State, Zip: Phone: Email: Electrical Contractor: ♦ Provide copy of current Electrical License ♦ Contractor must have a current Village License Name: Address: City, State, Zip: Phone: Email: Plumbing Contractor: INTERIOR WORK ONLY ♦ Provide copy of Xxxxxxx’s 055 ♦ Submit a Plumbing Letter of Intent Name: Address: City, State, Zip: Phone: Email: Plumbing Contractor: WATER SERVICE ONLY ♦ Provide copy of Plumber’s 055 ♦ Submit a Plumbing Letter of Intent Name: Address: City, State, Zip: Phone: Email: Mechanical Contractor: ♦ Contractor License NOT required Name: Address: City, State, Zip: Phone: Email: Sewer Contractor: ♦ Contractor must have a current Village License Name: Address: City, State, Zip: Phone: Email: Concrete Contractor: FOUNDATION ♦ Contractor must have a current Village License Name: Address: City, State, Zip: Phone: Email: Concrete Contractor: BASEMENT/GARAGE SLAB ♦ Contractor must have a current Village License Name: Address: City, State, Zip: Phone: Email: Driveway Contractor: ♦ Contractor must have a current Village License Name: Address: City, State, Zip: Phone: Email: Patio Contractor: ♦ Contractor must have a current Village License Name: Address: City, St...
PLEASE READ AND SIGN BELOW. I agree to allow The Indianapolis Public Library to use a photograph/videotape/ audio recording of myself, my child or legal xxxx for any of the above stated purposes. I understand that this agreement holds the Library harmless from any liability resulting from the use of these materials, and that there will be no compensation paid for the use now or in the future. (Name of Individual/Parent/Guardian) On behalf of: (Name of Individual/Parent/Guardian) On behalf of: (Name of child or xxxx) (Name of child or xxxx) (Date) Thank you for your support! If you would like a digital copy of the photo, please provide your email address below: (Date) Thank you for your support!
PLEASE READ AND SIGN BELOW. I agree to allow The Indianapolis Public Library to use a photograph/videotape/ audio recording of myself, my child or legal xxxx for any of the above stated purposes. I understand that this agreement holds the Library harmless from any liability resulting from the use of these materials, and that there will be no compensation paid for the use now or in the future. Indianapolis Public Library/Indianapolis Public Library Foundation Photograph/Media Release Agreement The Indianapolis Public Library, in an effort to promote Library services and programs, requests your permission to use a photograph/videotape/audio recording of yourself, your child or legal xxxx in Library publications or productions, including, but not limited to, the Library’s newsletter, annual report, television or video programming, web page, posters, brochures or other public displays.
PLEASE READ AND SIGN BELOW. I agree to the terms of agreement set forth in this document between Agape Healing Arts and myself. I also agree to honor and respect the studios sacred space and be mindful upon entering and exiting and keeping the space clean and clear. Todays Date: Cell # Print Name Signature: Witness signature: Contract for: Dates: Agape Healing Arts, 000 Xxxxxxxx Xx., Xxxxx 0, Xxxxxxxx XX 00000 461.762.4273// Xx. Xxxxx Xxxxxx Rental Agreement for: Date Contract Completed: Name: Phone Work/Cell: Address: City/State/Zip Code: Email address: Rental Rate/Fee: List what is included in the above price: (Meals, lodging, meeting space, etc.) ~ Meeting Space ~ Water and Tea ~ Three treatment tables Total: Please Check which option you prefer:
PLEASE READ AND SIGN BELOW. I give my permission for my child to attend and participate in all activities and field trips associated with the YWCA Homewood-Brushton Child Care Center. I understand that my signature indicates permission. I authorize the YWCA Homewood-Brushton Child Care Center staff to take my child to the closest medical facility in the event of a medical emergency. I understand that I am financially responsible for all incurred costs not covered by my health insurance. I release the YWCA Homewood-Brushton Child Care Center staff from any liability of any lost or stolen property. My signature indicates that I have read, understand, an am willing to abide by all rules and regulations put forth the Family Handbook. My signature also indicates that I am the parent/guardian of the child I have registered. I give my permission indicated in #1; I give my permissions as indicated in #2; and I agree to release YWCA staff from liability as indicated in #3. ________________________________________ ___________ Parent/Guardian Signature Date Child and Adult Care Food Program Child Enrollment Form Enrollment Date: Child ______________________________________ Parent/Guardian ___________________________ Address ______________________________________ Address ____________________________________ ______________________________________ ____________________________________ Birth date ____________________ Telephone (home)___________(work)____________ Sponsoring Organization _YWCA Greater Pittsburgh___ Center/Home ___YWCA Homewood-Brushton Child Care___ Address ___6907 Frankstown Avenue_______________ Address ______6907 Frankstown Avenue _________ ___Pittsburgh, PA 15208_________________ ______Pittsburgh, PA 15208____________ Normal Hours of Care (Please write in times for each day`) * Monday Tuesday Wednesday Thursday Friday Saturday Sunday Start: End: Start: End: Start: End: Start: End: Start: End: Start: End: Start: End: * If more than 8 hours of care per day, please attach an explanation to this form. Daily Expected Meal Service Participation (Please check box) Breakfast AM Snack Lunch PM Snack Supper Eve Snack Is this child of school age? ___Yes ___No If yes, will additional meals be provided when school is not in session? ___Yes ___No If yes, please specify the meal: ___Breakfast ___Lunch ___Snack ___Supper Parental Contacts: This childcare facility participates in the Child and Adult Care Food Program. In order to receive federal funds, representatives of the sponsoring organiza...
