Signature Approval. Approval: Yes No Date: Superintendent’s Signature (Form to be photocopies, original kept at LUHS District Office, copy sent to requestor) Credit Granted No Credit Granted LASSEN UNION HIGH SCHOOL DISTRICT REQUEST FOR COLLEGE CREDIT ALLOWANCE Date I would like to have the following course accepted toward placement credit on our District’s salary schedule. This is an undergraduate course and I understand prior approval must be obtained from the District Office before said credit will be granted. Course Number *Date Started Course Name Units College Offering Course Unit Member’s Signature *Note: In order for credit to be granted unit members for summer school, a minimum of 75% of class meeting time must be completed during summer vacation, as defined by the school calendar of the Lassen Union High School District. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Unit Member’s Name This is to inform you that the course (has has not) been accepted for credit toward salary schedule placement. Date District Superintendent
Signature Approval. I have read, understand and approve Parts A, B and C of this Participation Agreement.
Signature Approval. I have read, understand and approve Parts A, B and C of this Participation Agreement. A photocopy of this Participation Agreement will be deemed to have the same force and effect as the original. Signature Age Agreement Date Parent’s Name Parent’s Address City State Zip Telephone # Fax # Signature Agreement Date A FACT SHEET FOR STUDENT-ATHLETES • Is caused by a blow to the head orbody. – From contact with another player, hitting a hard surface such as the ground, ice or floor, or being hit by a piece of equipment such as a bat, lacrosse stick or field hockeyball. • Can change the way your brain normally works. • Can range from mild tosevere. • Presents itself differently for each athlete. • Can occur during practice or competition in ANYsport. • Can happen even if you do not lose consciousness. • Do not initiate contact with your head or helmet. You can still get a concussion if you are wearing ahelmet. • Avoid striking an opponent in the head. Undercutting, flying elbows, stepping on a head, checking an unprotected opponent, and sticks to the head all causeconcussions. • Follow your athletics department’s rules for safety and the rules of the sport. • Practice good sportsmanship at all times. • Practice and perfect the skills of the sport. You can’t see a concussion, but you might notice some of the symptoms right away. Other symptoms can show up hours or days after the injury. Concussion symptomsinclude: • Amnesia. • Confusion. • Headache. • Loss of consciousness. • Balance problems ordizziness. • Double or fuzzy vision. • Sensitivity to light ornoise. • Nausea (feeling that you might vomit). • Feeling sluggish, foggy orgroggy. • Feeling unusuallyirritable. • Concentration or memory problems (forgetting game plays, facts, meeting times). • Slowed reaction time. Exercise or activities that involve a lot of concentration, such as studying, working on the computer, or playing video games may cause concussion symptoms (such as headache or tiredness) to reappear or get worse. Sports have injury timeouts and player substitutions so that you can get checked out.
Signature Approval. I have read, understand and approve Parts A, B and C of this Participation Statement. A photocopy of this Participation Statement will be deemed to have the same force and effect as the original. By entering your name in the space provided below, you are agreeing to all the terms and conditions described above and agree to be bound by these terms. Entering your name will result in an electronic signature and an enforceable legal contract under the US and New York laws. You agree that this is your electronic signature and intend to be liable just as if you had physically signed your name to the contract on paper. E-signature Age Agreement Date Parent’s Name Parent’s Address City State Zip Telephone # Fax # By entering your name in the space provided below, you are agreeing to all the terms and conditions described above and agree to be bound by these terms. Entering your name will result in an electronic signature and an enforceable legal contract under the US and New York laws. You agree that this is your electronic signature and intend to be liable just as if you had physically signed your name to the contract on paper. E-signature Agreement Date
Signature Approval. I have read, understand and approve Parts A, B and C of this Participation Statement. A photocopy of this Participation Statement will be deemed to have the same force and effect as the original. Signature Date Age Parent’s Name Parent’s Address _ City State Zip Telephone # Fax #
Signature Approval. The Parties agree that the electronic signature of a Party to this Agreement shall be as valid as an original signature of such Party and shall be effective to bind such Party to this Agreement. The Parties agree that any electronically signed document (including this Agreement) shall be deemed (i) to be "written" or "in writing," (ii) to have been signed and (iii) to constitute a record established and maintained in the ordinary course of business and an original written record when printed from electronic files.
Signature Approval. The agreement and duty of Seller's Representative to execute and deliver this Contract are subject to the approval of Seller's Board Of Directors.
Signature Approval. The parties hereby agree to the terms of this Service Order as of the Service Order Effective Date. This Service Order will only be considered a valid and binding agreement upon final signature by both parties. No changes to this Service Order will be considered valid unless they have been made in writing and duly signed by each party. Anything to the contrary will be considered null and void. By: Name: Title: Date: By: Name: Title: Date: Description of Services provided by Contractor: [_________] Date submitted: [_________]
Signature Approval. The parties hereby agree to the terms of this Customer Order, effective as of the Customer Order Effective Date. This Customer Order will only be considered a valid and binding agreement upon final signature by SimX and Customer Project Manager. Customer Project Manager represents and warrants that he or she is authorized to sign for and bind Customer with respect to the subject matter of this Customer Order. No changes to this Customer Order will be considered valid unless they have been made in writing and duly signed by SimX and the Customer Project Manager. Anything to the contrary will be considered null and void. SIMX CUSTOMER By: By: Signature Signature Name: Name: Title: Title: SAC-23-153
