PLEASE ANSWER THE FOLLOWING Sample Clauses

PLEASE ANSWER THE FOLLOWING. Which room(s) do you require? Please tick: Whole Building Main Hall Chatham Room Kitchen Purpose/Description of Hiring Will this be a public event? Yes/No Is the event for public use? Yes/No If yes to either, do you require details to be shown on the Xxxxx Rivel Community Website? Please ensure that all electrical appliances have been Portable Appliance Tested and labelled before use in the hall. Is food to be provided at the event (other than cakes and biscuits)? Yes/No Will alcohol be available at your event? Yes/No Will it be for sale? Yes/No If yes, you will need to seek written permission from the Management Committee in order for a bar to be provided, or for a Temporary Event Notice (TEN) to be given for the event. A TEN is required for 18th Birthday Parties. The Management Committee will require you to complete a separate form detailing your requirements. Please note that ALL rubbish must be taken away as the hall does not have facilities for disposal. Please leave the kitchen clean and tidy. STANDARD CONDITIONS OF HIRE & SPECIAL CONDITIONS The Village Hall has a Premises Licence authorising the following regulated entertainment and licensable activities at the times indicated. Please confirm which licensable activities will take place at your event. Activity Times for which the activity is licensed Indicate activities to take place at your event
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PLEASE ANSWER THE FOLLOWING. 1. Is the water treatment facility equipped with a method for treating water that is capable of removing PFAS contamination? Circle One: YES NO If YES, please specify:
PLEASE ANSWER THE FOLLOWING. A background investigation is conducted for the applicant and each owner/officer/partner/ member (a “principal”) of the applicant business, if an entity, as part of the Retailer Licensing/Approval process. If you or, if the applicant is an entity, the applicant or any other principal of the business/applicant have been convicted of any offense defined in or under the Illinois Criminal Code or the criminal code of any other State, or of a criminal offense under any federal law, you must submit a separate statement setting forth the name of the offender, the nature of the offense, the state and county or federal court in which the criminal conviction occurred, the date of the conviction, the sentence, and any other information you may wish to add. Further, you must submit a statement if anyone listed on the Retailer licensing application has ever been found guilty of fraud or misrepresentation, has been a gambling promoter or professional gambler, or has been engaged in bookmaking or other forms of illegal gambling. A criminal conviction does not automatically mean this application will be denied. However, concealment of a criminal record may result in denial of the application or in a subsequent license suspension or revocation. The Lottery will compare the information you give with criminal records maintained by federal and state law enforcement agencies. • Please check the appropriate box. A separate statement describing any criminal conviction is attached. No separate statement is attached. Neither the applicant business nor a principal of the business has ever been convicted of a criminal offense. • Have the applicants, individually or as part of another business, ever been licensed by the Department of Lottery or the Department of Revenue for the purpose of selling Lottery Tickets? Yes No If yes, list the previous Illinois Lottery Retailer Number(s):
PLEASE ANSWER THE FOLLOWING. 1. Is your planned event a fully non-profit event? Is your event open to the public? If yes, see YES NO Mass Gathering permit at end of form.
PLEASE ANSWER THE FOLLOWING. Would you prefer all spa services (nails, facials, massages) be booked in the couple's suite*? ⬜ Yes ⬜ Not Necessary - If not reserving the couple's suite, can guests be booked in the same room for massages and facials? ⬜ Yes ⬜ No - For nail services only, would you like to reserve the couple's suite? ⬜ Yes ⬜ Not Necessary - Will you be providing food and beverage? ⬜ Yes ⬜ No *No additional fee for the couple's suite, however, available on a first-come, first-served basis. Host's Signature: Date: Full Name: Contact #: SPA SERVICES: Soak off nail service needed: Yes | No Manicure (pick one) Spa | Gel | Gelous Dip | French Pedicure (pick one) Spa | Gel | French Facial Massage Full Name: Contact #: SPA SERVICES: Soak off nail service needed: Yes | No Manicure (pick one) Spa | Gel | Gelous Dip | French Pedicure (pick one) Spa | Gel | French Facial Massage Full Name: Contact #: SPA SERVICES: Soak off nail service needed: Yes | No Manicure (pick one) Spa | Gel | Gelous Dip | French Pedicure (pick one) Spa | Gel | French Facial Massage Full Name: Contact #: SPA SERVICES: Soak off nail service needed: Yes | No Manicure (pick one) Spa | Gel | Gelous Dip | French Pedicure (pick one) Spa | Gel | French Facial Massage Full Name: Contact #: SPA SERVICES: Soak off nail service needed: Yes | No Manicure (pick one) Spa | Gel | Gelous Dip | French Pedicure (pick one) Spa | Gel | French Facial Massage Full Name: Package: SPA SERVICES: Soak off nail service needed: Yes | No Manicure (pick one) Spa | Gel | Gelous Dip | French Pedicure (pick one) Spa | Gel | French Facial Massage Full Name: Contact #: SPA SERVICES: Soak off nail service needed: Yes | No Manicure (pick one) Spa | Gel | Gelous Dip | French Pedicure (pick one) Spa | Gel | French Facial Massage Full Name: Contact #: SPA SERVICES: Soak off nail service needed: Yes | No Manicure (pick one) Spa | Gel | Gelous Dip | French Pedicure (pick one) Spa | Gel | French Facial Massage Full Name: Contact #: SPA SERVICES: Soak off nail service needed: Yes | No Manicure (pick one) Spa | Gel | Gelous Dip | French Pedicure (pick one) Spa | Gel | French Facial Massage Full Name: Contact #: SPA SERVICES: Soak off nail service needed: Yes | No Manicure (pick one) Spa | Gel | Gelous Dip | French Pedicure (pick one) Spa | Gel | French Facial Massage 5048 Route 982 | Latrobe XxxxxxxXxx.xxx Total # of spa party guests booked for spa services:

Related to PLEASE ANSWER THE FOLLOWING

  • PLEASE READ CAREFULLY I, as applicant or duly authorized representative of the applicant, hereby affirm that the submitted information is true and correct to the best of my knowledge. As such, I have been authorized by the applicant to apply for this permit and have read, understand and agree to comply with all rules concerning the use of the Noblesville Parks and Recreation Auditorium at the Ivy Tech Community College Xxxxxxxx County Campus. The applicant agrees that while renting the park or park premise, the applicant will not exclude anyone from participation in, deny anyone benefits of, or otherwise subject anyone to discrimination because of that person’s race, color, sex, religion, creed, national origin or ancestry, age or handicap. Under this Auditorium Rental Agreement, the applicant assumes all responsibility for proper conduct in the park, including consumption of alcoholic beverages. I , on behalf of the permit applicant, shall agree to release, hold harmless, and forever indemnify the City of Noblesville and Ivy Tech Community College, its employees, officers, and agents from any and all claims or causes of action that may arise from the activities described herein. This includes claims for personal injury, property damage, and/or any other types of claim which may arise from these activities, whether such claims may be brought by the permit applicant or any of its agents, or by any third party. I have read this release and understand all of its terms. I agree with its terms and sign it voluntarily. Signature Date City of Noblesville Parks and Recreation Department 000 Xxxxxx Xxxx Noblesville, Indiana 46060 000-000-0000 000 Xxxxxx Xxxx Xxxxxxxxxxx, XX 00000 OFFICIAL EVENT PERMIT APPLICATION FOR AUDITORIUM City of Noblesville Parks and Recreation Department (NPRD) (Please Print or Type) - Auditorium operating hours are 8:00 a.m. - 10:00 p.m. - Permit applications must be submitted to the Department at least six weeks prior to event. - An application for Special Use shall not become a permit until it has been approved and signed by the Department. Application approval will not be finalized without submittal of an application, certificate of insurance and payment of all fees/charges/deposits. Type of Organization: (check all that apply) □City of Noblesville □Department-Affiliated □Private – City Resident □Xxxxxxxx County □Non-Profit □Private – Non-Resident □Other Tax ID# □Profit Making Please complete entire application: Non-Profit Fundraising Event □Other Tax ID# Date of Application: Date of Proposed Event: Contact Information:

  • PLEASE READ THIS NEXT SECTION CAREFULLY Although there will be circumstances when it is appropriate to seek parental consent, children’s data protection and privacy rights are their own. The law considers that children of average maturity will, from the age of around 12, have sufficient awareness of their own privacy to make certain choices relating to their personal data themselves. Parents’ views remain important, but sometimes the law will require us to give more weight to the decision the child makes about his or her own privacy. For most purposes, it will not in fact be necessary or practical for us to obtain consent from you (or your child) for the use we make of your (or your child’s) personal data. The law recognises this but also requires that, as far as possible, we set out clearly what these uses will be. Please also see our 'Privacy Notice' which is available on the School's website.

  • Renewal Notice; Notification of Changes Subject to governing law, XOOM can renew this Agreement with new or revised Terms. XOOM will send you written notice at least (30) days before the end of the Term. The notice will specify the date by which you must advise XOOM if you do not want to renew your Agreement. If you do not advise XOOM by the specified date, this Agreement will automatically renew at the fixed rate or variable rate then in effect in accordance with the notice. XOOM reserves the right, with fifteen (15) days’ notice, to amend this Agreement to adjust its service to accommodate any change in regulations, law, tariff or other change in procedure required by any third party that may affect XOOM’s ability to continue to serve you under this Agreement.

  • REASON FOR TRANSFER – FOR US RESIDENTS ONLY Consistent with US IRS regulations, Computershare Trust Company of Canada is required to request cost basis information from US securityholders. Please indicate the reason for requesting the transfer as well as the date of event relating to the reason. The event date is not the day in which the transfer is finalized, but rather the date of the event which led to the transfer request (i.e. date of gift, date of death of the securityholder, or the date the private sale took place). SCHEDULE “B” EXERCISE FORM TO: Navasota Resources Inc. AND TO: Computershare Trust Company of Canada 000 Xxxxxxxxxx Xxx. Xxxxxxx, XX X0X 0X0 The undersigned holder of the Warrants evidenced by this Warrant Certificate hereby exercises the right to acquire: Common Shares of Navasota Resources Inc. pursuant to the right of such holder to be issued, and hereby subscribes for, the Common Shares that are issuable pursuant to the exercise of such Warrants on the terms specified in such Warrant Certificate and in the Indenture for an aggregate exercise price of . The undersigned hereby acknowledges that the undersigned is aware that the Common Shares received on exercise may be subject to restrictions on resale under applicable securities legislation. Any capitalized term in this Warrant Certificate that is not otherwise defined herein, shall have the meaning ascribed thereto in the Warrant Indenture. The undersigned hereby represents, warrants and certifies that (check box (a), (b), (c) or

  • What Will Happen After We Receive Your Letter When we receive your letter, we must do two things:

  • AGREEMENT TO FOLLOW DIRECTIONS I agree to follow the rules for the Activities provided to me and to follow directions given to me by the leaders of the Activities.

  • Obligation after the termination of personal data processing services

  • Grantee’s Notification of Change of Contact Person or Key Personnel The Grantee shall notify in writing their contract manager assigned within ten days of any change to the Grantee's Contact Person or Key Personnel.

  • Contact in Event of Unauthorized Transfer If you believe your Card and/or access code has been lost or stolen or that someone has transferred or may transfer money from your account without your permission, either call us immediately at:

  • Happen After We Receive Your Letter When we receive your letter, we must do two things:

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