Consent, Release and Indemnity Agreement Sample Contracts
CONSENT, RELEASE AND INDEMNITY AGREEMENTConsent, Release and Indemnity Agreement • December 19th, 2022
Contract Type FiledDecember 19th, 2022The Cryo T-Shock safely and effectively uses thermal shock to naturally destroy fat cells without any damage to the skin. The Cryo T-Shock breaks down fat cells, which your body naturally flushes out through the bloodstream and the lymphatic system in days to weeks following the treatment. Cryo T-Shock also helps reduce the appearance of fine lines and wrinkles by stimulating collagen and elastin production while tightening muscles. The Cryo T-Shock is also beneficial for facial toning and lifting. Protocols will be discussed and or adjusted during consultation based on recommendations and client needs.
Standard Contracts
CONSENT, RELEASE AND INDEMNITY AGREEMENTConsent, Release and Indemnity Agreement • December 12th, 2021
Contract Type FiledDecember 12th, 2021We, the undersigned, for and in consideration of providing the undersigned Player with the opportunity to participate in the Jr. Wildcat Lacrosse program, do hereby unconditionally release and agree to indemnify and hold harmless Wheeler Jr. Wildcat Lacrosse Association, Inc., East Cobb Middle School, the Cobb County School System, the City of Marietta, Wheeler Lacrosse, or any person, coach, volunteer or entity employed by or associated with any type of claim or damage (including, but not limited to attorney’s fees and litigation expenses) resulting from or arising out of the undersigned Player’s participation in the sport of lacrosse or transportation to and from events with Wheeler Jr. Wildcat Lacrosse Association, Inc.
CONSENT, RELEASE, AND INDEMNITY AGREEMENT/HIPAA FORMConsent, Release, and Indemnity Agreement • March 27th, 2024
Contract Type FiledMarch 27th, 2024INTRODUCTION this notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully. This Notice of Privacy Practices describes how we may use and disclose your protected health/personal information (PHI) to carryout out treatment, payment, or business operations (TPO) and for other purposes that are permitted or required by law. It also describes our rights to access and control your protected information. Protected health/personal information is information about you, including demographic information, that may identify you and that relates to your past, present or future physical or mental health or condition and related health care services.
Power Wheel Demolition Derby Consent, Release, and Indemnity AgreementConsent, Release, and Indemnity Agreement • July 23rd, 2024
Contract Type FiledJuly 23rd, 2024
Colington Yacht Club Junior Sailing Consent, Release and Indemnity AgreementConsent, Release and Indemnity Agreement • April 12th, 2007
Contract Type FiledApril 12th, 2007This program does not provide health and accident insurance since most families already carry such coverage. Because of this, we ask that you, as a parent, recognize the element of risk and agree to assume that responsibility for yourself and your child. Please provide the following information:
CONSENT, RELEASE AND INDEMNITY AGREEMENTConsent, Release and Indemnity Agreement • September 14th, 2021
Contract Type FiledSeptember 14th, 2021The Cryo T- Shock safely and effectively uses thermal shock to naturally destroy fat cells without any damage to the skin. The Cryo T-Shock breaks down fat cells, which your body naturally flushes out through the bloodstream and then the lymphatic system in days to weeks following the treatment. Cryo T-Shock also helps reduce the appearance of
Consent, Release and Indemnity AgreementConsent, Release and Indemnity Agreement • February 7th, 2020
Contract Type FiledFebruary 7th, 2020I, , wish to participate in the Buffalo Yacht Club UB Sailing Program and in consideration of my being permitted to participate in said activities, I hereby release and discharge the Buffalo Yacht Club, its agents, officers, employees, sub-contractors, directors and members from any and all liability of any kind, whatsoever, for any personal injury, property damage, sickness, or medical or hospital expense occurring or resulting from or arising out of any activity or substitute activity directly or indirectly connected with the Buffalo Yacht Club’s Sailing Program, and I hereby assume all risk of any liability for injury or damage to my person or property while engaged in such activities, however caused, and I further agree to indemnify and save harmless the Buffalo Yacht Club, its agents, employees, sub-contractors, officers, directors and members from any and all claim, suits and liability for injury to my property or my person while engaged in activities at or connected with the Buf