Participant Signature. Date: __________
Participant Signature. Date Returned: WIC Staff Signature: Legend: For Official WIC use ONLY (Manual Form Instructions: Please CIRCLE one option below)
Participant Signature. Date: __________ Case Manager Signature: __________________________________________ Date: _______ _ Housing Search Case Plan Participant Name: Date:
Examples of Participant Signature in a sentence
Participant Signature Date IF PARTICIPANT IS UNDER 19: I certify that I am the parent or legal guardian of the child named above.
More Definitions of Participant Signature
Participant Signature. Date: Case Manager Signature: Date:
Participant Signature. Dated: / / Participant Printed Name: Participant Address: Participant Date of Birth: / / IF PARTICIPANT IS UNDER 18 YEARS OF AGE, THIS AGREEMENT MUST ALSO BE SIGNED BY PARTICIPANT’S PARENT OR LEGAL GUARDIAN. By my signature below, I attest that I am the parent or legal guardian of the above-named participant, that the information expressed in this document is true and accurate, and that I agree to abide by all terms and conditions herein both for myself and on behalf of the Participant named above. Parent or Guardian Signature: Date: / /
Participant Signature. Date: Participant email: Next appointment (or best time to call) Health Coach Signature: Date: *Items with an asterisk are required
Participant Signature. Date: New Member Orientation: I provided an orientation to the above named Participant regarding the proper use and care of the Wellness Center and equipment. The Participant has received the Wellness Center Policies and Rules and agrees to abide by them. This Participant has also reviewed and signed the Wellness Center Agreement and Release of Liability form.
Participant Signature. Print Name: FIRST FOUNDATION INC. By: Name: Its: 1 Applicable only to Participants who are employees of the Company or of any Company Affiliate.
Participant Signature. Date: MBA Executive Director Signature: Date: _ Participant & Model Home Information: All further Parade information will be sent to the contact person as designated below. It is the responsibility of this person to distribute necessary information to the appropriate parties. Company Name: Contact Name: Address: City, State, Zip: Phone: Fax: Email: Model Name: Home Style: Parade Subdivision: Lot #: Acknowledgement of Contract / Rules & Regulations Your signature acknowledges that you have read this Contract and the Parade’s Rules & Regulations, and accept the terms. Print Name Title Signature Date Performance Deposit & Fees (due with contract): Please note that to receive early bird pricing contracts must be received by the date indicated below. If payment is not received with contract, the MBA will invoice your company for the total. The Performance Deposit is eligible to be refunded based on Participant adhering to the deadlines established in the Rules & Regulations section of the contract. The Participation Fee is non-refundable. ■ Performance Deposit: $5,000 ■ Participation Fee: $4,000 due no later than November 1, 2019 (Early Bird) / $5,500 after November 1, 2019 (General Pricing) Payment Parade of Homes payments must be made by check. Credit card payments are not allowed. Enclose a check payable to the ‘Metropolitan Builders Association’ for the following amount and mail to ‘Metropolitan Builders Association, Attn: Xxxxx Xxxx, N16 X00000 Xxxxx Xxxxx Xxxxx, Xxxxxxxx, XX 00000’: Early Bird Pricing: $9,000 received by the MBA no later than November 1st, 2019. General Pricing: $10,500 received by the MBA after November 1st, 2019. Do Not Complete this Section. For MBA Use Only. Amount: Received: Date: Check #: Accepted by the MBA once paid in full. Rules & Regulations APPLICABILITY These Rules & Regulations are part of your signed Participation Contract. By signing the Parade of Homes Participation Contract, you are agreeing to abide by all Rules & Regulations specified in this document. Monetary fines will be applied and possible expulsion from the Parade if your company, employees or representatives are in violation of these Rules & Regulations at any time during the event. MBA shall have full power to interpret and to make or amend these rules from time to time, within its sole discretion. Wherever these Rules & Regulations do not cover a situation, MBA’s Executive Director shall have the right to make such rulings that are considered to be in the...
Participant Signature. Date: Legal Guardian Signature: Date: The Arc Administrator Signature: Date: The Arc of Calhoun County 00 Xxxx Xxxxxxxx Xxxxxx Xxxxxx Xxxxx, Xx. 00000 P: (000) 000-0000 F: (000) 000-0000