NON RESIDENT AGREEMENTNon Resident Agreement • August 2nd, 2022
GOVERNTo: ING LAW AND JURISDICTION AGREEMENTclinique ovo and the doctors practising there (collectively, the “Clinic”) Date: RE: Confirmation of Quebec (the “Province”) as Governing Law and Jurisdiction
WEST READING BOROUGH BICENTENNIAL HOUSE NON-RESIDENT AGREEMENTNon-Resident Agreement • October 2nd, 2018
THIS AGREEMENT between the BOROUGH OF WEST READING, Berks County, Pennsylvania (hereinafter referred to as “Borough”) , a Non-Resident, 21 years of age or older residing at , (hereinafter referred to as “Applicant”).
WEST READING BOROUGH PAVILION/FIELD NON-RESIDENT AGREEMENTNon-Resident Agreement • October 2nd, 2018
THIS AGREEMENT between the BOROUGH OF WEST READING, Berks County, Pennsylvania (hereinafter referred to as “Borough”) , a Non-Resident, 21 years of age or older residing at , (hereinafter referred to as “Applicant”).
WEST READING BOROUGH PAVILION/FIELD NON-RESIDENT AGREEMENTNon-Resident Agreement • October 2nd, 2018
THIS AGREEMENT between the BOROUGH OF WEST READING, Berks County, Pennsylvania (hereinafter referred to as “Borough”) , a Non-Resident, 21 years of age or older residing at , (hereinafter referred to as “Applicant”).
WEST READING BOROUGH BICENTENNIAL HOUSE NON-RESIDENT AGREEMENTNon-Resident Agreement • October 2nd, 2018
THIS AGREEMENT between the BOROUGH OF WEST READING, Berks County, Pennsylvania (hereinafter referred to as “Borough”) , a Non-Resident, 21 years of age or older residing at , (hereinafter referred to as “Applicant”).
NON RESIDENT AGREEMENTNon Resident Agreement • July 27th, 2022
GOVERNTo: ING LAW AND JURISDICTION AGREEMENTclinique ovo and the doctors practising there (collectively, the “Clinic”) Date: RE: Confirmation of Quebec (the “Province”) as Governing Law and Jurisdiction
CENTENNIAL SCHOOLS NON-RESIDENT AGREEMENTNon-Resident Agreement • October 11th, 2010
To be completed by student’s parent/guardian: Student’s Last Name First Name Middle Name School Year- Grade Student’s Address Apt. No. City Zip Code Home Phone( ) - Age of StudentStudent will be at least age 5 and under age 21 by September 1 of enrollment year. Yes No When a spot is offered, districts will then request birthdate, records and other required registration information. Date Student Moved(if applicable) MM / DD / YYYY Parent/Guardian Last Name First Name Middle Initial Phone Numbers Home: ( )Work: ( )Cell: ( ) --- Parent/Guardian Address (if different from student’s) Apt. No. City Zip Code Reason this transfer is requested. (if sibling(s) are served in #12, provide full name(s) / if daycare is in #12, provide address) Please list elementary schools in order of priority. (Blue Heron, Centennial, Centerville, Golden Lake, Rice Lake) Has student been expelled from school? Yes No RESIDENT School District Dist. No. School Most Recently Attended Phone: ( ) - Signature o
NON-RESIDENT AGREEMENTNon-Resident Agreement • March 12th, 2020
Student’s Last Name First Name Middle Name Student Birthdate Gender M F Month Day Year Student’s Address Apt. # City Zip Code Sudent’s Racial/Ethnicity (Check one only)American Indian Asian or Hispanic Or Alaskan Native Pacific Islander Black, no of Hispanic Origin White, no of Hispanic Origin School Year Grade Parent or Guardian Last Name First Name(s) Phone # Parent/Guardian Address (if different from student’s) Apt. # City Zip Code Reason this transfer is requested: (This does not affect acceptance) SERVING School District Name District # School Requested Grade Date Student Moved(if applicable) Has student been receiving Special Ed. Services? Yes No Month Day Year RESIDENT School District Name District # School Most Recently Attended Signature of Parent/Guardian (if required) X____________________________________ ___________ THE ABOVE INFORMATION IS TRUE AND CORRECT TO DATE SIGNED THE BEST OF MY BELIEF AND KNOWLEDGE.
