ACADEMIC DAY SCHOOL INFORMED CONSENT PLACEMENT AGREEMENTInformed Consent Placement Agreement • January 11th, 2018
Contract Type FiledJanuary 11th, 2018This 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 2015-2016 INFORMED CONSENT PLACEMENT AGREEMENTInformed Consent Placement Agreement • August 11th, 2017
Contract Type FiledAugust 11th, 2017This 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 AGREEMENTInformed Consent Placement Agreement • September 6th, 2016
Contract Type FiledSeptember 6th, 2016This 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: