Print Name Signature Sample Clauses

Print Name Signature. Guest In return for the privilege of entering on the private property for any recreational or educational purpose as defined in the Natural Resources Article § 5-1101, I ________________________________________________________ agree to adhere to every law, observe every safety precaution and practice, take every precaution against fire, and assume all responsibility and liability for my person and my property, while on the landowners property.
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Print Name Signature. I have read and understand the above Program Release Statement and Sportsmanship Pledge.
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Print Name Signature. RELEASE & INDEMNITY AGREEMENT As a participant of this program, I do hereby release the Township of Xxxxxxxxxx; Senior, Youth & Leisure Services; and any individual connected with the Township from any and all law suits, medical expenses, hospital or other expenses that may arise from injury to or caused by each individual’s participation in this program. I further understand that I am participating in this program at my own risk, and that the Township of Xxxxxxxxxx; Senior, Youth & Leisure Services; and employees of the Township will not in any way, be liable or responsible for any injuries, or expenses from injuries sustained by anyone participating in said program. I also understand that it is my responsibility to make sure I am physically capable of participating in this program and I am doing so with my physician’s permission. SPORTSMANSHIP PLEDGE By signing this, I hereby acknowledge that I have read and discussed the Xxxxxxxxxx Sports Council Code of Conduct with all family members and pledge to be responsible for our family’s words and actions while attending, coaching, officiating or participating in a sports event and shall conform my behavior to the Xxxxxxxxxx Sports Council Code of Conduct. I also agree not to hold the Township of Xxxxxxxxxx, Xxxxxxxxxx Sports Council or member Sports Organizations, League, and/or Board of Education responsible for the conduct of any athlete, parent, coach, official, or other attendee present at a sports event. The Township of Xxxxxxxxxx shall incur no liability for limited or non-enforcement of this Code of Conduct. I have read and understand the above Program Release Statement and Sportsmanship Pledge.
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Print Name Signature. DATE C2.1 the Price list
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Print Name Signature. DATE SECTION B Note: Overtime travelling is limited to 40 km per single trip. List of SHE requirements Annexure D PPE is for both maintenance and outage PERSONAL PROTECTIVE CLOTHING (For each employee) 22 Safety Boots 23 Overalls 24 Reflective vest 25 Hard hat 26 Safety gloves 27 Safety Goggles/ glasses 28 Disposable Dust musk 29 Ear plugs 30 Face shield (welder) 31 Gum boots 32 Disposable overall OTHER CONTENTS Florah to verify 33 First Aid Box 34 Fire extinguisher 35 Medical Surveillance include working at heights SUB –TOTAL TOTAL excluding vat R NB RATES INCLUDE ALL RELEVANT COST I.E. OVERHEADS, LABOUR COSTS AND BONUSES. THE CONTRACTOR WILL BE REQUESTED AT ANY TIME TO SUBMIT A PRO-FORMA PAYSLIP TO ENSURE THAT THE CONTRACTOR IS ABIDING BY THE LABOUR REQUIREMENTS.
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Print Name Signature. DATE C3: Scope of Work
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Related to Print Name Signature

  • Witness Signature 4. PARENT/GUARDIAN CONSENT: (for applicants under 18 years) – I hereby certify and decree that all the information contained in the declarations above is true and accurate Print Name:................................................................... Signature …………………………………………....……... Relationship to applicant ……………………………… Phone Contact ……………………................................... Address …………………………………………………………………….....................................................................

  • Signature Signature For the participant For the institution Xxxxxx Xxxxx prof. Ing. arch. Xxxxxx Xxxxxxx, PhD. Vice-xxxxxx for International Relations and Public Relations, based on the procuration Annex I

  • Legal Signature This Agreement may be executed and delivered by any party herein by sending a facsimile of the signature or by a legally recognized digital or electronic signature. Such legal signature shall be binding on the party so executing it upon receipt of signature by the other party.

  • Student Signature By signing this contract, Resident agrees to pay the contract amount (room, board and association fees) in accordance with Addendum B: Rate and Payment Schedule. Resident may pay the full amount due prior to the due date, at the Resident’s election.

  • Contract Signature If the Original Form of Contract is not returned to the Contract Officer (as identified in Section 4) duly completed, signed and dated on behalf of the Supplier within 30 days of the date of signature on behalf of DFID, DFID will be entitled, at its sole discretion, to declare this Contract void. No payment will be made to the Supplier under this Contract until a copy of the Form of Contract, signed on behalf of the Supplier, is returned to the Contract Officer.

  • Authorized Signature Your signature on the Account Card authorizes your account access. We will not be liable for refusing to honor any item or instruction if we believe the signature is not genuine. If you have authorized the use of a facsimile signature, we may honor any check or draft that appears to bear your facsimile signature even if it was made by an unauthorized person. You authorize us to honor transactions initiated by a third person to whom you have given your account number even if you do not authorize a particular transaction.

  • Employee Signature Employee ID: Telephone No: Employee Address: Work Location:

  • Preparer’s Signature The person completing the DBE commitment form on behalf of the consultant’s firm must sign their name.

  • Authorized Signatories The parties each represent and warrant to the other that (1) the persons signing this lease are authorized signatories for the entities represented, and (2) no further approvals, actions or ratifications are needed for the full enforceability of this Lease against it; each party indemnifies and holds the other harmless against any breach of the foregoing representation and warranty.

  • Authorized Signatures (1) Each of the undersigned represents that he or she is fully authorized to enter into the terms and conditions of, and to execute, this Settlement Agreement on behalf of the Parties identified above their respective signatures and their law firms.

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