Birth Date definition

Birth Date. Email: City: Alt. Phone: ACKNOWLEDGMENT & ASSUMPTION OF RISK I, the undersigned Parent/Guardian responsible for my child’s childcare placement, understand that this Agreement is a binding legal agreement. Any clarification or questions or concerns must be raised before signing. I understand that this Agreement is made for the benefit of PLASP Child Care Services and its directors, officers, agents, representatives, employees, volunteers, members, participants, independent contractors, subcontractors, successors, and assigns (collectively “PLASP”). PLASP is re-opening its Child Care Centre at (the “Centre”) during the COVID-19 pandemic and execution of this Agreement is a condition of my child’s attendance at the Centre. In consideration of PLASP permitting my child’s attendance at the Centre, I acknowledge and agree to the following terms: ✓ My child’s attendance at the Centre (including but not limited to participation in activities at the Centre and transportation from and to the Centre) exposes my child, myself, other members of our family and third parties that reasonably come into contact with my child to contracting and spreading the virus which causes COVID-19 and which may cause, directly or indirectly, to all such persons serious bodily injury, including death, as well as property damage and/or economic losses (the “Risks”); and ✓ I understand such Risks associated with my child’s attendance at the Centre and I hereby freely accept and assume full responsibility for such Risks. WAIVER OF CLAIMS, RELEASE OF LIABILITY I, the undersigned Parent/Guardian, agree as follows: ✓ I hereby waive any and all claims that I have or may have in the future against PLASP in connection with my child’s attendance at the Centre that relate directly or indirectly to the contracting of the COVID-19 virus at the Centre (including in the course of transportation from and to the Centre); and ✓ I hereby release and forever discharge PLASP from any and all liability for all loss, damage, expense, injury, illness or disease (caused directly or indirectly by COVID-19), death, or property damage that my child, I, my executors or administrators, or any other party may suffer as a result of my child’s attendance at the Centre due to ANY CAUSE WHATSOEVER, whether arising from the NEGLIGENCE, breach of any statutory or other duty (including but not limited to the Occupiers Liability Act, R.S.O. 1990, c.O2.), breach of contract, mistake or error of judgement of PLASP, or otherwise...
Sample 1
Birth Date means the medication recipient's birth date.
Sample 1
Birth Date. Age: Height: Gender: In the _ grade. Have you played on a school basketball team? If so, how many years Name of School: Name of Parish: T-SHIRT SIZE (Youth): MEDIUM (Adult): SMALL LARGE MEDIUM LARGE X-LARGE RELEASE AND VOLUNTARY WAIVER This Voluntary Waiver and Release Agreement (“Agreement”) is hereby executed by the player’s parent or legal guardian, together with any heir, successor, representative or assign (collectively “Participant”), in favor and for the sole and exclusive benefit of the Organizers (as defined herein). In connection with Participant’s involvement in a contest, promotional activity or in any other event which may take place at Assumption Parish Spokane or which involves the use of facilities at Assumption Parish including, without limitation, the 3-on-3 basketball tournament (collectively “Event”), Participant hereby agrees and acknowledges to Assumption Parish, Xxxx St. Xxxx XXIII Knights of Columbus Council 15968, and any of the respective Event sponsors or promoters, including, without limitation, all charities benefiting from the Event, individually and collectively, together with each of their respective affiliates, officers, employees, partners, shareholders, members, board members, sponsors, volunteers, tenants, contractors, agents, successors and assigns (collectively “Organizers”), that a strenuous activity, such as basketball, is potentially hazardous, and Participant hereby assumes all risks associated with participating in the Event, including, without limitation, falls, contact with other participants, the effects of weather and the condition of playing surfaces. Furthermore, Participant expressly and unconditionally assumes all risks and dangers known or unknown, foreseen or unforeseen, and relating or incidental to Participant’s involvement in the Event and any activity associated therewith. Participant hereby releases, forever discharges and holds harmless the Organizers from and against any and all claims, damages, liabilities, costs and expenses, including, without limitation, death, personal injury or property damage of any kind or nature, arising out of or relating to Participant’s involvement in the Event and all activities associated therewith. Participant further agrees that the Organizers shall have the right to record, broadcast and use of photography of Participant’s involvement in the Event on the Assumption’s Parish or School websites. SPORTSMANSHIP PLEDGE I realize and accept that I am responsible for the...
Sample 1

Examples of Birth Date in a sentence

  • In the event that there is no living primary Beneficiary at my death, I hereby designate the following person or persons as contingent Beneficiaries of my Account: Name: Name: Social Security Number: Social Security Number: Address: Address: Date of Birth: Date of Birth: Relationship to Participant: Relationship to Participant: Percentage: Percentage: The total of the percentages cannot exceed 100%.

  • Name: Name: Social Security Number: Social Security Number: Address: Address: Date of Birth: Date of Birth: Relationship to Participant: Relationship to Participant: Percentage: Percentage: The total of the percentages cannot exceed 100%.

  • Full Name Residence Telephone (Area Code Number) Business Telephone (Area Code Number) Residence or Principal Address (Street/City/State/Zip Code) Birth Date Mailing Address (if other than residence) Citizenship (U.S./Other) Marital Status Social Security/Taxpayer I.D. Number Spouse’s Full Name E-mail Address Spouse’s Social Security Number Facsimile Number (Area Code/Number) ACCREDITED INVESTOR.

  • If no primary beneficiary is living at the time of my death, I hereby specify that the balance be distributed in the same manner to my contingent beneficiary(ies) listed below." Contingent Beneficiary(ies): First Name Middle Initial Last Name Share %* Birth Date (Month, Day, Year) Relationship First Name Middle Initial Last Name Share %* Birth Date (Month, Day, Year) Relationship *Shares for all contingent beneficiaries combined must add up to 100%.

  • I give any interest in these assets to my spouse, to the extent necessary to accomplish each beneficiary designation made below." ------------------------------------------------------------------ Spouse's Signature Date Primary Beneficiary(ies): First Name Middle Initial Last Name Share %* Birth Date (Month, Day, Year) Relationship First Name Middle Initial Last Name Share %* Birth Date (Month, Day, Year) Relationship *Shares for all primary beneficiaries combined must add up to 100%.

  • Relationship to Owner: Owner Joint Owner Other (Please complete the information below if this choice is selected.) Name Relationship to Owner SSN Birth Date Male Female Street Address (No P.O. Box addresses.) City State ZIP Country of Citizenship 2(B).

  • Name Date of Birth Date of Hire Normal Retirement Date Years of continuous service at December 11, 2008 Final 36-month average monthly base salary Covered Compensation level (monthly) Sample Calculation May 31, 1950 October 31, 1988 June 1, 2015 21 $17,638.89 $5,972.00 Notes and Comments Maximum of 30 years; a fractional year is counted as a whole year.

  • Name (first, middle initial, last) Birth Date Sex ____Male (month/day/year) ____Female --------------------------------------------------------------------------- Street Address, apt.

  • This notification will provide the Reinsurer with the following information: The Name, Policy Number, Issue Date, Date of Birth, Date of Death (if known), Face Amount and reinsured Net Amount At Risk.

  • Check product guidelines for maximum issue age.Name (First, Middle, Last) Birth Date (mo/day/yr) Gender ¨ M ¨ F Mailing Address City, State, ZIP SSN Residential Address (if different than mailing address) City, State, ZIP Telephone Number Solicited at: State Complete this box for custodial-owned qualified contracts only.


More Definitions of Birth Date

Birth Date. Age: Home School: Grade: Address: City: Zip: Parent/Guardian: Phone 1: Phone 2: Parent’s email: Alt. Contact: ISP Contract Information Contract Start Date: Contract End Date: 6/2/2022 Supervising Teacher: Day of Week Assignments Are Due: Assignment Turned in to: Teacher email: Teacher phone number: Date of Parent/Teacher Contract: Terms Reviewed with Parent/Student: Parent Initial’s Student’s Initials Objective: The objective of AESD’s Independent Study Program is to provide an alternative learning environment where we can support students to attain grade level and standards mastery while supporting their academic and social emotional needs. ISP Program Information Subject (URL/Google Classroom) Teacher Day and Time of Live Instruction/Lesson Math ELA/Reading Science History Student Signature: Date: Parent Signature: Date: Supervising Teacher Signature: Date: ISP Requirements ● Enrollment into the Independent Study Program is voluntary. Your child may return in-person instruction at any time. If this is your decision, a transition meeting will be held with the site administrator or school counselor and your child’s supervising teacher within 5-school days to help facilitate his/her return to in-person instruction. ● A student with special education needs cannot participate unless his/her IEP specifically allows for such participation. ● A student must make “satisfactory progress” to remain enrolled in the ISP Program. o The student’s achievement and engagement in the independent study program, as indicated by the student’s performance in applicable student-level: ▪ The completion of assignments, assessments or other indicators that demonstrate the student is working on assignments ▪ Learning required concepts, as determined by the supervising teacher ▪ Progressing toward successful completion of the course of study as determined by the supervising teacher ● If your student misses 3 days, 60% of the assignments in a week, or does not comply with this Master Agreement, the District will implement tiered reintegration strategies which may include parent contact, parent-pupil-educator conferences, academic interventions, and/or other appropriate strategies to help support your student. If your student does not improve after three weeks of not meeting the minimum requirements, the district will convene a conference to determine if placement in the ISP program is educationally appropriate for your student. ● Your student must attend all required synchronous lear...
Sample 1
Birth Date. Age: SSN: Occupation: Employer: Employer’s Address: Years There: City: State: Zip: Name of Spouse: Birth Date: Age: SSN: Occupation: Employer: Employer’s Address: Years There: City: State: Zip: Insurance Billing Transformational Healing will file insurance claims for all services to your primary insurance carrier only. Please remember that you are responsible for all deductible, co-pay, and non-covered service amounts. Should your account be sent to collections, you will be responsible for all collection and service charges. I authorize the release of any and all medical information necessary to process my claim, or continue treatment. I also authorize the use of third party billing services. Signature of client or responsible party: Date: Electronic Communication Waiver Though I do my best to protect your confidentiality of electronic messages, please note I cannot guarantee confidentiality under circumstances which include use of Internet, cellular phone, or text message. Specifically, I cannot guarantee confidentiality beyond my standard ethical obligations set forth by the American Association of Marriage and Family Therapists. Electronic communication is only to be used for scheduling and rescheduling appointments, and is not to be used for emergency services or in case of a crisis; please call 911 or go to the nearest hospital. (initial) Authorize e-mail messages Yes No Authorize text messages Yes No Signature of client or responsible party: Date: 0000 X. Xxxx Xxxxxx Xx. Xxx Xxxxx, XX 00000
Sample 1
Birth Date. Gender: Student: Yes No 17 or under Yes No Emergency Contact: Home phone: Cell Phone: Name of Insurance Company: Insurance Plan Name: Group Number (if a group policy): Participant Account Number: Allergies: Medications: In exchange for being allowed to participate in activities at Faith Presbyterian Church (FPC), a Washington nonprofit corporation, I submit this Release, Waiver, and Indemnification Agreement (Agreement) and agree to the following:
Sample 1
Birth Date. Soc. Sec. No.:___________________________ Union Affiliations:______________________ EXHIBIT A PRODUCER DECLARATION I, the undersigned, declare that I have read and understand those relevant portions of the agreement between Wall Street Records LLC ("Wall Street") c/o A&M Records, Inc., Worldwide Plaza, 000 0xx Xxxxxx, Xxx Xxxx, Xxx Xxxx, 00000 and Xxxxxxx Xxxxxxx Xxxxx, Xx. (professionally known as "Xxxxxx" and referred to below as "Artist") dated as of March 13, 1998 ("Artist Agreement") that pertain to my record production endeavors. I hereby certify that I have produced or will have produced certain master recordings embodying Artists featured performance ("Masters") pursuant to an agreement between Artist and me ("Producer Agreement") which provides for valuable consideration to be paid to me. As part of my material obligations pursuant to the Producer Agreement and for the express and direct benefit of Wall Street, I hereby:
Sample 1

Related to Birth Date

  • Birth center means a facility or institution, which is not an ambulatory surgical center or a hospital or in a hospital, in which births are planned to occur following a normal, uncomplicated, low-risk pregnancy.

  • Age means the attained age of the Insured Person.

  • Date of Lodging means the date this Decree is filed for lodging with the Clerk of the Court for the United States District Court for the District of Colorado.

  • Policy Commencement Date means the date of commencement of the Policy as specified in the Schedule.

  • Occupation Date means the Completion Date or the date on which the Local Authority issues the Occupancy Certificate or the date that the Purchaser attends the Hand-over Inspection, whichever is the earlier;

  • Service Date or "SD" means the date service is made available to the End User Customer. This also is referred to as the "Due Date."

  • Contract Date means the date set for bid opening or, if this is a negotiated contract or a modification, the effective date of this contract or modification.

  • Billing Commencement Date means the earlier of:

  • Date of Completion with respect to a Project shall mean: (i) the date upon which such Project and all components thereof have been acquired or constructed and are capable of performing the functions for which they were intended, as evidenced by an Engineers’ Certificate filed with the Trustee and the Issuer; or (ii) the date on which the Issuer determines, upon the recommendation of or in consultation with the Consulting Engineer, that it cannot complete such Project in a sound and economical manner within a reasonable period of time as evidenced by an Engineers’ Certificate filed with the Trustee and the Issuer; provided that in each case such certificate of the Consulting Engineer shall set forth the amount of all Costs of such Project which have theretofore been incurred, but which on the Date of Completion is or will be unpaid or unreimbursed.

  • Late Retirement Date means the first day of the month coinciding with or next following a Participant's actual Retirement Date after having reached his Normal Retirement Date.

  • Normal Retirement Date means the later of the Normal Retirement Age or Termination of Employment.

  • Starting Date means the date referred to in Clause 3.3 hereof;

  • Service Commencement Date means the date the Transmission Provider begins to provide service pursuant to the terms of an executed Service Agreement, or the date the Transmission Provider begins to provide service in accordance with Tariff, Part II, section 15.3 or Tariff, Part III, section 29.1.

  • Retirement Date means the date as of which a Participant retires for reasons other than Total and Permanent Disability, whether such retirement occurs on a Participant's Normal Retirement Date or Late Retirement Date (see Section 6.1).

  • Date of Service means the date on which the client receives medical services or items, unless otherwise specified in the appropriate provider rules. For items that are mailed or shipped by the provider, the date of service is the date on which the order was received, the date on which the item was fabricated, or the date on which the item was mailed or shipped.

  • the commencement date means the date on which the Contract shall take effect, as notified by the Authority to the Contractor in a letter awarding the Contract.

  • Date The Effective Date (as defined in the Funding Agreement) Acknowledged and Agreed: THE PRINCIPAL LIFE INCOME FUNDINGS TRUST DESIGNATED IN THIS GUARANTEE By: U.S. Bank Trust National Association, not in its individual capacity, but solely in its capacity as trustee By: Bankers Trust Company, N.A., under Limited Power of Attorney, dated February 16, 2006 By: /s/ Dxxxx X. Xxxx Name: Dxxxx X. Xxxx Title: Vice President Date: The Effective Date (as defined in the Funding Agreement)

  • Billing Date means the date upon which the monthly statement is generated and debited to the customer's account.

  • Postponed Retirement Date means the first day of the month coincident with or next following a Participant’s date of actual retirement which occurs after his Normal Retirement Date.

  • Adult day care center means any facility that is either operated for profit or that desires licensure

  • life cycle means all consecutive and/or interlinked stages, including research and development to be carried out, production, trading and its conditions, transport, use and maintenance, throughout the existence of the product or the works or the provision of the service, from raw material acquisition or generation of resources to disposal, clearance and end of service or utilisation;