PLEASE READ CAREFULLY BEFORE SIGNING. Executive acknowledges that he has carefully read and understands the terms of this Agreement and his obligations hereunder. • Executive acknowledges that he has been advised to review this Agreement with an attorney of his choosing. EXECUTIVE ACKNOWLEDGES THAT HE HAS CAREFULLY READ THIS SEPARATION AGREEMENT AND FULLY UNDERSTANDS ITS CONTENTS, AND VOLUNTARILY SIGNS IT OF HIS OWN FREE WILL.
PLEASE READ CAREFULLY BEFORE SIGNING. As a guest with a pet staying at The Bird House Bungalow, I acknowledge and understand that there are certain risks associated with having a pet residing with me at any hotel or vacation property. These risks include, but are not limited to: injuries or illnesses suffered by my pet while on the property or as a result of my pet being on the property, and any illnesses contracted by any pet not FULLY vaccinated. In consideration of allowing the pet to stay in The Bird House Bungalow, I hereby agree to ASSUME ALL RISKS associated with my pet’s presence on the premises of The Bird House Bungalow rental property. Additionally, I agree to HOLD HARMELESS and RELEASE, DEFEND, AND INDEMNIFY, THE BIRD HOUSE BUNGALOW and all its respective insurance carriers, staff, volunteers, representatives, and its owner, FOR ANY AND ALL LIABILITY and/or claims for illness, injury or death to persons or damage to property arising from my pet’s stay at The Bird House Bungalow. By signing this release, I agree not to sue any released party and agree I am releasing any right to make a claim or file a lawsuit against any released party. I agree that any claims arising from the pet’s presence at The Bird House Bungalow, shall be governed by Florida law and exclusive jurisdiction of any claim shall be in the district court for Sarasota County or in the Federal court for the State of Florida. Printed Name Signature Date I (print name) agree to the following: (Please read and initial each, indicating you understand) My pet will be up-to-date on vaccinations, with a MINIMUM of the rabies vaccine. I will have vaccination records to show. I have read and signed the first page of this agreement regarding releasing liability if my pet does not have the remainder of standard veterinary recommended vaccinations. My pet will have received a flea/tick treatment more than 24 hours (and less than 30 days) before arriving at The Birdhouse Bungalow. Upon arrival, I will inspect the premises and immediately report any existing stains, damage, etc, to avoid being charged for pre-existing issues upon check out. When I must leave my pet alone, it will be crated (complimentary crate available) or confined to a single room. For the safety of my pet - when I must confine, I will confine on the ground floor only. On a DAILY basis, I will pick up and properly dispose of (in green covered can) any pet waste. (Bags are provided.) When my pet is outside in the yard, it will be either on its leash or accompanied...
PLEASE READ CAREFULLY BEFORE SIGNING. I, __________________________________________, the enrolled participant and/or the parent/guardian/caretaker of the participant agree and understand that swimming is a hazardous activity. I recognize that there are certain risks inherent in the sport of swimming, including but not limited to, injuries and death. The participant hereby agrees to participate with the Manta Ray Aquatics swim team and hereby agrees to hold harmless the Manta Ray Aquatics swim team, Grossmont Unified High School District, Cajon Valley School District, its coaches, instructors, officers, directors, board members, agents and employees against any liability resulting from injury that may occur to the participant while engaged in any team activities, while at the pool, outside the pool or any other site being utilized by Xxxxx Xxx Aquatics. The participant authorizes any representative of the Manta Ray Aquatics swim team to have the participant treated in any medical emergency during their participation. Further, the participant and/or parent/guardian/caretaker agrees to pay all costs associated with medical care and transportation for the participant. I have noted on the medical release form any medical/health problems of which staff should be aware. Parents/guardian/caretaker must supervise swimmers when they are outside of the pool area, as well as supervising siblings on and off the pool deck. I HAVE CAREFULLY READ THE ABOVE LIABILITY RELEASE AND SIGN IT WITH FULL KNOWLEDGE OF ITS CONTENTS AND SIGNIFICANCE. Signed: Date: ____________________________ Parent/Guardian if participant is under 18 Swimmers Names: Name: ________________________________________ Age: _________________________ Name: ________________________________________ Age: _________________________ Name: ________________________________________ Age: _________________________ Photograph Release I hereby authorize Xxxxx Xxx Aquatics to publish photographs taken at a team event of myself and/or the minor child or children listed below for use on the MRA website, social media, such as Facebook and Instagram, or marketing materials, as well as other team publications. I hereby release and hold harmless MRA from any reasonable expectation of privacy or confidentiality for myself and for the minor child and children listed below associated with the images specified above. Parents/guardians/caretakers are responsible for removing swimmer from any group photo, if they do not want the swimmer in a posted picture. Name: ______...
PLEASE READ CAREFULLY BEFORE SIGNING. The person using any Bogus Basin Recreational Association, Inc. (“Bogus Basin”) chairlift and/or facilities, and/or is a licensee/invitee on land owned by Bogus Basin and/or land leased to Bogus Basin by the U.S. Forest Services (“Bogus Basin area”) for summer/fall activities (as defined below) shall be referred to hereinafter as “Participant.” The “Undersigned” means only the Participant when the Participant is age 18 or older OR it means both the Participant and the Participant’s parent or legal guardian when the Participant is under the age of 18. Undersigned hereby acknowledges that he/she has received valid consideration in exchange for agreeing to the terms set forth in this Agreement. The summer/fall activities that Participant may participate in at Bogus Basin include: (1) summer tubing, (2) bungee trampolines, (3) climbing wall, and (4) alpine coaster (the “Activities”). The Undersigned agrees and understands that the Activities can be hazardous and involve the RISK OF PHYSICAL INJURY OR DEATH, and such risk is inherent and cannot be reasonably avoided without changing the nature of the Activities. The Undersigned further acknowledges that he/she has read this Agreement, and EXPRESSLY ASSUMES ALL RISKS of the Activities, inherent or otherwise. In consideration of allowing the Participant to use the Bogus Basin area, the Undersigned agrees to RELEASE Bogus Basin from any and all liability and/or claims for injury or death to persons or damage to property arising from the Participant’s participation in the Activities, including those claims based on Bogus Basin’s alleged or actual NEGLIGENCE. Further, the Undersigned agrees to WAIVE his/her right to file a lawsuit against Bogus Basin for any existing or future claims. The Undersigned agrees to DEFEND and INDEMNIFY Bogus Basin from all claims for property damage, injury or death arising out of Participant’s use of the Bogus Basin area, which (1) he/she may suffer or for which (2) he/she may be liable to others or for (3) Participant’s conduct that may contribute to a claim being asserted against Bogus Basin. The Undersigned understands that Bogus Basin may furnish first aid care, including but not limited to: transportation for Participant to a facility where defined medical care can be provided at no expense to Bogus Basin. The Undersigned understands that the furnishing of medical care is in no way an admission or an assumption of liability on the part of Bogus Basin, its officers, agents or employ...
PLEASE READ CAREFULLY BEFORE SIGNING. I certify that I personally supervise the education and training of the above-named apprentice optician. I will not permit the apprentice to perform optical dispensing unless I am in the optical area to personally supervise their education, training, and hours. Signature of Licensed Dispensing Optician Date License Number *Your social security number is required by state law (ORC 3123.50) and federal law (42 U.S.C. Section 666) for the purpose of child support enforcement. It may also be sued for reporting adverse actions to the federal National Practitioner Data Bank (NPDB) (45 C.F.R. pt.60). 00 Xxxxx Xxxx Xxxxxx, Xxxxx 0000 614-466-9709 office Xxxxx@Xxxxxx.Xxxx.xxx Columbus, OH 00000-0000 000-000-0000 fax xxx.Xxxxxx.Xxxx.xxx
PLEASE READ CAREFULLY BEFORE SIGNING. In consideration of (Participant’s name) being allowed to participate in the youth water polo training, practices, scrimmages, games and tournaments of Carolina Water Polo, LLC ( the “Club”), its affiliates and leagues (together, the ‘Program’) as well as the use of any of the Facilities and the use of the equipment in connection with participation in the Program, as his/her custodial parent/guardian, I hereby agree as follows: I, (printed name of parent or legal guardian), do hereby affirm and acknowledge that I am fully informed of the inherent hazards and risks to my child associated with playing and practicing water polo and other water activities associated with the Program and the physical exertion required therein. Despite potential hazards associated with the Program, including falls, contact with other Participants, sprains, ligament and tendon damage, broken bones, other personal injury, drowning and other hazards (including but not limited to: man-made objects in the water ropes, goals, balls, the forces of nature including lightning, weather changes) from participation in water activities, injuries inflicted by animals, insects, reptiles or plants, accidents or illness in remote places without medical facilities, illness, paralysis, permanent disability, and death, I voluntarily authorize my child’s participation in reliance upon my own judgment and knowledge of my child’s experience and capabilities. Additionally, I understand that there are also risks to my child associated with travel, including, but not limited to the possible injury or loss of life or property. Despite the potential hazards and dangers, I voluntarily agree to allow my child to participate in the Program and hereby accept and assume all such risks, known and unknown, and assume all responsibility for the losses, costs and/or damages following such injury, disability, paralysis or death of my child and damage or destruction to my child’s property, even if caused, in whole or part, by the negligence of the Club, its officers, directors, members, employees, representatives, agents and volunteers (the “Club Representatives”) of the Program or any facility used by the Program including but not limited to the Greensboro Aquatic Center, the Orange County Sportsplex, UNCG Rec & Wellness, Xxxxxxx Pool, or any other pool or location their members, board members or representatives (the “Facilities”) (together referred to as “Club Representatives and Facilities”) with the exception of ...
PLEASE READ CAREFULLY BEFORE SIGNING. A. I certify that the information contained in this application is correct and complete. I understand that any false or misleading statements or omissions made in this application or interview(s), whenever discovered, are grounds for disqualification from further consideration or for dismissal from employment, regardless of how discovered.
PLEASE READ CAREFULLY BEFORE SIGNING. In consideration of my participation in this (Insert Event here) (hereafter referred to as the Activity) I acknowledge and willingly agree that:
PLEASE READ CAREFULLY BEFORE SIGNING. You, for yourself and for the “Lessee,” acknowledge and agree that you have carefully reviewed, fully understand, and agree to all of the terms and conditions set forth on the front and reverse side (or additional page(s) 2-5) of this Contract (including without limitation, SEI’s “Terms and Conditions of Rental Contract”), that you have received a complete and legible copy of this Contract and all attachments and addenda hereto. SIGNATURE OF/FOR LESSEE: X Name (Printed): D.L../ID #: Date: TERMS AND CONDITIONS OF RENTAL CONTRACT
PLEASE READ CAREFULLY BEFORE SIGNING. Executive acknowledges that he has carefully read and understands the terms of this Agreement and his obligations hereunder. • Executive acknowledges that he has been advised to review this Agreement with an attorney of his choosing. • Executive acknowledges that he has been given at least 21 days to consider whether to sign this Agreement. Executive acknowledges that if he signs this Agreement before the end of such period, it will be his personal and voluntary decision to do so. • Executive understands that this Agreement will not become effective or enforceable until after the 7-day revocation period has expired. The Company will have no obligations to Executive under this Agreement or the CiC Agreement if Executive revokes the Agreement during such 7-day period. • This Agreement may be executed in any number of counterparts, each of which shall be deemed an original, but all of which together shall be deemed one and the same instrument.
