Participant Name definition

Participant Name. [Participant Name] Date Signed: [Acceptance Date] H&R BLOCK, INC. By: Xxxxxxx X. Xxxx President and Chief Executive Officer

Participant Name. Participant Signature: Address: City: State: Zip: Phone Number: Email: Date: PARENT OR GUARDIAN ADDITIONAL AGREEMENT (MUST BE COMPLETED FOR PARTICIPANTS UNDER THE AGE OF 18) In consideration of being permitted to participate in this activity, I further agree to indemnify and hold harmless Releasees from any claims alleging negligence which are brought by or on behalf of the minor or are in any way connected with such participation by the minor. Parent/Guardian Name: Date: Parent/Guardian Signature:

Participant Name. Grant Date: “grant date” IN WITNESS WHEREOF, the Company has caused this Award to be executed under its corporate seal by its duly authorized officer. This Award shall take effect as a sealed instrument. CLEAR CHANNEL OUTDOOR HOLDINGS, INC. By: Name: Title: Dated: “acceptance date” Acknowledged and Agreed “Electronic Signature” Name: “Participant Name” Address of Principal Residence:

Examples of Participant Name in a sentence

• STOCK UNIT GRANT Participant: [Name of Participant] Address: The above-named Participant (the “Participant”) has been granted the number of restricted stock units (the “RSUs”) set forth below giving the Participant the conditional right to receive, without payment therefor, one share of Common Stock of Sarepta Therapeutics, Inc.

• IT IS AGREED, by and between the Company and the Grantee, as follows: Grantee: [Participant Name] Number of Shares of Restricted Stock: [Awards Granted] Grant Date: [Grant Date] Vesting Schedule: Grantee will become vested in 33 1/3% of the shares of Restricted Stock on March 7 in each of the first, second and third calendar years following the calendar year of the Grant Date, provided the Grantee remains continuously employed by the Company through each such vesting date.

• XXX RESEARCH CORPORATION 2015 Stock Incentive Plan Restricted Stock Unit Award Agreement EXHIBIT A Participant (Name & Employee Number): Grant Date: Number of RSUs: Vesting Date(s): Leave of Absence: 31st day (or 91st day if reemployment guaranteed by statute or contract), or as otherwise required under applicable laws.

• Date: Participant Name Printed Date: Participant’s parent or legal guardian Name Printed Phone Number Email address YOUTH LEADERSHIP DERBY INFORMATION FORM Instructions: Please email completed form to xxxx@xxxx.xxx or bring with you the day of Youth Leadership Derby (the “Program”).

• Participant Name: [●] Address: [●] You have been granted a non-qualified Option to purchase Common Stock of Sarepta Therapeutics, Inc.

More Definitions of Participant Name

Participant Name. [Participant Name] Date Signed: [Acceptance Date] H&R BLOCK, INC. By: [Authorized Officer]

Participant Name. Address: Primary Contact: Title: Department: Phone Number: Facsimile 9: Alternate Contact: Phone Number: Facsimile #: Account Officer:

Participant Name. Grant Date:___________, 199_ Vesting Schedule Percent of Stock Vesting Date: Option Exercisable Shares Subject to Option:____________ Expiration Date:______________, 2007 Exercise Price: $_______________ Special Terms and Conditions: EMPLOYEE NONQUALIFIED STOCK OPTION AWARD AGREEMENT UNDER THE DEVON ENERGY CORPORATION 1997 STOCK OPTION PLAN THIS STOCK OPTION AGREEMENT (the "Award Agreement"), made as of the grant date set forth on the cover page of this Award Agreement (the "Cover Page") at Oklahoma City, Oklahoma, by and between the participant named on the Cover Page (the "Participant") and DEVON ENERGY CORPORATION (the "Company"):

Participant Name. [Name] Number of RSUs: [Number] Date of Grant: [Date]

Participant Name as set forth in the Award Notice Grant Date: as set forth in the Award Notice (the “Grant Date”)

Participant Name. Title: Date: A copy of the Cedar Fair, L.P. 2016 Omnibus Incentive Plan Information Statement is available for review on the Cedar Fair Intranet link at xxxx://xxxxx/ under “Document Share”, and a copy of the most current Form 10-K is available for review at xxxxx://xx.xxxxxxxxx.xxx/overview/default.aspx. Exhibit A Performance Objectives

Participant Name. Date filed: / / Best way to contact me: Please describe the incident, mistreatment, or discrimination in as much detail as you can: When did this event happen? / / What staff and others were present or aware of the incident? Were there any other witnesses? (If so, how can we reach them?) What are you hoping will happen as a result of filing a complaint? If you feel that you have been discriminated against at Connections for the Homeless, please specify how you were discriminated against: My gender, gender status or gender expression My physical, developmental, intellectual, or emotional ability Being LGBTQI+ My alcohol or drug use or addiction, or other addictions My race, color, tribe, or ethnicity My legal history My immigration, refugee or citizenship status or nationality My veteran or military discharge status My income or lack of income, or source of income My body size My not following a doctor’s or therapist’s medical or treatment suggestions My participation in the street economy How well I read, write, or speak English My religion or personal philosophy My job status or education level My health or mental health status, or having HIV or AIDS My marital, family or partnership status My age I promise that everything I have said is true to the best of my memory: Participant Name (Print) Participant Signature Date FOR PROGRAM USE ONLY Date complaint received: / / Findings: Resolution: Date participant informed of disposition: / / Staff signature: Date: Staff printed name: Title: APPENDIX 5: TV CHANNEL LINE UP 0000 Xxxxx Xxxxxx Evanston, IL 60201 000 000 0000 SHELTER RESIDENT HANDBOOK ACKNOWLEDGEMENT By signing below, I acknowledge that I have received a copy of Connections’ Shelter Resident Handbook (revised 11.01.2021). I understand that receipt of this Acknowledgement is a requirement for me to be a Participant in Connections’ Shelter. I understand that it is my responsibility to read and abide by the policies and procedures outlined within this Handbook. Furthermore, I understand that it is my responsibility to contact Connections Staff with any questions or concerns I have about the Shelter policies and procedures. I understand that Connections reserves the right to amend, add, and retract its policies and procedures as deemed necessary for the health, safety, and well-being of Participants, Staff, and the Community. When possible, these changes will be communicated to me in writing in advance of their implementation. Participant Name (PRINT): Pa...