TEXAS CHRISTIAN UNIVERSITYInformed Consent and Release Agreement • December 8th, 2020
Please read, sign, and return this form to . Note that program participation will not be permitted until the signed form is received and acknowledged by the office/individual indicated above.
Western Oregon University __(Event Name)___ Participant Informed Consent, Release, and Indemnification AgreementInformed Consent and Release Agreement • January 24th, 2020
I, _______________________________ (Student Name) in consideration of my voluntary participation in the Western Oregon University (Program Name) (“Program”) and all Program events and activities, including (Program Details) on the Western Oregon University campus, do hereby assume full responsibility for all risk of injury or loss which may result from my participation in the Program. I further agree to comply with all applicable rules of the Program.
INFORMED CONSENT AND RELEASE AGREEMENTInformed Consent and Release Agreement • December 30th, 2013
Indoor Experience - Informed Consent and Release AgreementInformed Consent and Release Agreement • December 9th, 2016
In consideration of the services of Competitive Edge, Inc., their agents, officers, volunteers, participants, employees, and all other persons or entities acting in any capacity on their behalf (hereinafter collectively referred to as "Comp. Edge"), I hereby agree to release and discharge Comp. Edge, on behalf of myself, my children, parents, heirs, assigns, personal representatives and estate, from any and all liability for injuries or damages I may incur or cause in connection with or arising out of my participation in Comp. Edge programming.
ORGANIC INTELLIGENCE STUDENT RELEASEInformed Consent and Release Agreement • June 8th, 2021
INFORMED CONSENT, RELEASE AGREEMENT, AND AUTHORIZATIONInformed Consent and Release Agreement • January 20th, 2023
Shepherd Valley Waldorf SchoolInformed Consent and Release Agreement • September 11th, 2021
Permission to Walk or Bike to /from School (with confirmed understanding of teacher) – Informed Consent and Release Agreement By signing below, I give permission for my child, , to walk and/or bike to and/or from Shepherd Valley School & Garden, Inc., dba Shepherd Valley Waldorf School (“School”). I acknowledge that walking and/or biking to and/or from the School
INFORMED CONSENT AND AGREEMENT AND RELEASE FORMInformed Consent and Release Agreement • March 12th, 2020
Thank you for choosing to use the activities, facilities, programs or services of Centennial Place Fitness Centre. We request your understanding and cooperation in maintaining your safety and health by reading and signing the following informed consent and agreement and release form.
Integral Somatic Psychology Student ReleaseInformed Consent and Release Agreement • February 11th, 2022
INFORMED CONSENT AND RELEASE AGREEMENTInformed Consent and Release Agreement • July 29th, 2013
INFORMED CONSENT, RELEASE AND AGREEMENT TO HOLD HARMLESSInformed Consent and Release Agreement • August 11th, 2015
Mr. Jones’ Driving Academy LLC, is an Idaho State Licensed driver training school. All driving instructors are professionally trained driving instructors, licensed by the State of Idaho. All employees have been subjected to a background check by the Idaho State Patrol. In the regular course of providing driver education, Mr. Jones’ Driving Academy utilizes a company owned and insured vehicle. This vehicle will be driven by all students under the direct supervision of a Mr. Jones’ Driving Academy Professional Driving Instructor.
INFORMED CONSENT AND AGREEMENT AND RELEASE FORMInformed Consent and Release Agreement • May 21st, 2013
some or all of the activities, facilities, programs and services (hereinafter called “Activities”) offered by Centennial Place Fitness Centre. I assume full responsibility for my health and well being during and after my participation in such Activities and for my choices to use or apply at my own risk any portion of the information or instruction I receive.
Sheila Ring Reed, LCSW, LLC INFORMED CONSENT AND RELEASE AGREEMENTInformed Consent and Release Agreement • November 7th, 2020
INFORMED CONSENT, RELEASE AGREEMENT, AND AUTHORIZATIONInformed Consent and Release Agreement • January 24th, 2023
ContractInformed Consent and Release Agreement • October 29th, 2015
This Informed Consent and Release Agreement is used in connection with the Aquatic- Exercise Program provided at Harnett Health Betsy Johnson which is to be used only by the individuals who have been approved to participate in the Program by their attending physician.
INFORMED CONSENT, RELEASE AGREEMENT AND AUTHORIZATIONInformed Consent and Release Agreement • January 13th, 2016
Informed Consent and Release AgreementInformed Consent and Release Agreement • May 28th, 2009
In consideration of the services of Competitive Edge, Inc. and Cool Spring Center, Inc., their agents, officers, volunteers, participants, employees, and all other persons or entities acting in any capacity on their behalf (hereinafter collectively referred to as "Cool Edge"), I hereby agree to release and discharge Cool Edge, on behalf of myself, my children, parents, heirs, assigns, personal representatives and estate, from any and all liability for injuries or damages I may incur or cause in connection with or arising out of my participation in Cool Edge programming.
Informed Consent and Release AgreementInformed Consent and Release Agreement • January 10th, 2017
INFORMED CONSENT AND RELEASE AGREEMENTInformed Consent and Release Agreement • March 22nd, 2019
(Print Your Name and Address) (“You/Your”), and shall remain in force until Client and/or the Pilates Studio discontinues the Activities & Services, defined below.
Accident-Prevention, Traffic Safety and Defensive Driving Education For First- Time Drivers INFORMED CONSENT, RELEASE AND AGREEMENT TO HOLD HARMLESS, INDEMNIFY AND DEFENDInformed Consent and Release Agreement • January 12th, 2019
Drive Right Academy, LLC, is an Idaho State Licensed driver training school. All driving instructors are professionally trained driving instructors, licensed by the State of Idaho. All employees have been subjected to a background check by the Idaho State Patrol. In the regular course of providing driver education, Drive Right Academy utilizes a company owned and insured vehicle. This vehicle will be driven by all students under the direct supervision of a Drive Right Academy Professional Driving Instructor. I, (Print Name) wish to be a passenger in a Drive Right Academy vehicle. I recognize that I will be exposed, not only to routine risks of vehicular travel, but will be exposed as well to all inherent dangers arising from being a passenger with other new drivers as well as myself learning to drive, which could cause me property damage, personal injury and/or bodily injury including death. For and in consideration of permission to be a passenger in a Drive Right Academy vehicle, and
PROVIDER INFORMED CONSENT AND RELEASE AGREEMENTInformed Consent and Release Agreement • April 29th, 2021 • Colorado
This is a legal document and you are bound to its terms. Please keep a copy of this document for your records. Once you submit your agreement, a copy will automatically be sent to the email address you provide below.
Oral History Program Informed Consent and Release AgreementInformed Consent and Release Agreement • August 31st, 2022
The Montauk Library Oral History Program is an ongoing program of the Montauk Library. The purpose of the project is to collect stories and memories from community members who have
INFORMED CONSENT, RELEASE, HOLD HARMLESS AND INDEMNIFICATION AGREEMENTInformed Consent and Release Agreement • February 26th, 2015
