Common Contracts

3 similar Informed Consent Placement Agreement contracts

ACADEMIC DAY SCHOOL INFORMED CONSENT PLACEMENT AGREEMENT
Informed Consent Placement Agreement • January 11th, 2018

This Agreement is between , as the custodian of or the representative of the agency with custody of the above-named child, hereinafter referred to as “Custodian”, and the Dominion Youth Services, Inc., dba DOMINION ACADEMY, 1002 Wilmer Avenue, Richmond, VA 23227, hereinafter referred to as “DOMINION ACADEMY”, to wit:

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ACADEMIC DAY SCHOOL 2015-2016 INFORMED CONSENT PLACEMENT AGREEMENT
Informed Consent Placement Agreement • August 11th, 2017

This Agreement is between , as the custodian of or the representative of the agency with custody of the above-named child, hereinafter referred to as “Custodian”, and the Dominion Youth Services, Inc., dba DOMINION ACADEMY, 1002 Wilmer Avenue, Richmond, VA 23227, hereinafter referred to as “DOMINION ACADEMY”, to wit:

ACADEMIC DAY SCHOOL 2016-2017 INFORMED CONSENT PLACEMENT AGREEMENT
Informed Consent Placement Agreement • September 6th, 2016

This Agreement is between , as the custodian of or the representative of the agency with custody of the above-named child, hereinafter referred to as “Custodian”, and the Dominion Youth Services, Inc., dba DOMINION ACADEMY, 1002 Wilmer Avenue, Richmond, VA 23227, hereinafter referred to as “DOMINION ACADEMY”, to wit:

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