Common use of Knowing and Voluntary Execution Clause in Contracts

Knowing and Voluntary Execution. I have carefully read and understand this Agreement and Release and any questions of mine have been answered. I am aware that this is a contract and a release of liability between myself and the Released Parties and the Program which binds the Minor and me. I have signed this Agreement and Release voluntarily and of my own free will. I certify that the Minor is fourteen years of age or older. I agree that this Agreement and Release governs all of the Minor’s volunteer activities with RT-AFF during the calendar year 2022 and that I will be required to sign a new Agreement and Release if the Minor intends to volunteer for any succeeding years. . Executed in (City) , Virginia, on (date) Minor Name Minor’s Signature Parent/Guardian Name Parent/Guardian’s Signature Parent/Guardian Address Street Phone City State Zip code Email: Witness Date Group Complete prior to volunteer activities and return to: Rebuilding Together-AFF, 00000 Xxxx Xxxxxx, Xxxxx 000, Xxxxxxx, XX 00000 Email PDF to: xxxx@xxxxxxxxxxxxxxxxxx-xxx.xxx or call 000-000-0000 for additional information Rebuilding Together Arlington/Fairfax/Falls Church, Inc. MEDICAL TREATMENT AUTHORIZATION FOR PARTICIPATING MINOR (at least 14 years old) (Must be accompanied by Volunteer Agreement and Release from Liability – Minor) Name of minor: (Please print) I represent and warrant to Rebuilding Together Arlington/Fairfax/Falls Church, Inc. (RT-AFF) that I/We am/are the parent(s) or legal guardian(s) of the minor named above. The above named minor has my/our permission to participate in the RT-AFF program (the “Program). On behalf of such minor and myself/ourselves I have signed a Volunteer Agreement and Release From Liability Form – Minor (the “Release”) and hereby agree to all of the terms and conditions of the release. In case of medical or dental emergency, I request that RT-AFF attempt to contact me at the telephone number set forth below. However, I hereby give permission to the physician or dentist selected by RT-AFF to hospitalize, treat, secure proper treatment for, and order injections, anesthesia or surgery for the minor named above. A copy of this permission form may be accepted by and treated by the physician or dentist as equivalent to the original permission form. _ Name of Parent/Guardian (Please print) Signature Address: Phone: Date:

Appears in 1 contract

Samples: rebuildingtogether-aff.org

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Knowing and Voluntary Execution. I have carefully read and understand the provisions and legal consequences of this Agreement agreement, and Release and any questions I hereby agree to all of mine have been answeredits conditions. I am aware agree that if any portion of this agreement is a contract found to be void or unenforceable, the remaining portions shall remain in full force and a release of liability between myself and the Released Parties and the Program which binds the Minor and meeffect. I have signed understand that in calculating the cost of the trek, Xxxx Xxxxxxxxxx Himalayan Private Limited has relied on my consent to these terms and their enforceability. Without this Agreement and Release voluntarily and of my own free willagreement, Xxxx Xxxxxxxxxx Himalayan Private Limited would not be able to offer these services. I certify agree that execution of an electronic transmission of this agreement shall be deemed execution of the Minor is fourteen original agreement. I agree that electronic transmission of an executed copy of this agreement shall constitute acceptance of this agreement. Emergency contact number your signature (18 years of age or older) Emergency contact name & relationship to you your name (Only blood relative or spouse) Date: MINORS UNDER 18 YEARS OF AGE – A Parent or Legal Guardian Must Sign This Agreement on the Minor’s Behalf. The Parent or Guardian Must Submit Their Own Signed Agreement Separately if also participating in the trek. I am the parent or legal guardian of the minor. I understand the legal consequences of signing this Agreement, including a) releasing Xxxx Xxxxxxxxxx Himalayan Private Limited, from all liability on my and the minor’s behalf, b) promising not to sue on my and the minor’s behalf, c) assuming all risks of the minor’s participation in the trek, and d) indemnifying Xxxx Xxxxxxxxxx Himalayan Private Limited. I understand that I am responsible for the obligations and the acts of the identified minor as described in this document. I agree that to be bound by the terms of this Agreement document. I have read this agreement in its entirety, and Release governs all I am signing it freely. No other representations concerning the legal effect of the Minorthis document have been made to me. Signature of Minor Participant’s volunteer activities with RT-AFF during the calendar year 2022 and that I will be required to sign a new Agreement and Release if the Minor intends to volunteer for any succeeding years. . Executed in (City) , Virginia, on (date) Minor Name Minor’s Signature Parent/Guardian Name Parent/Guardian’s Signature Parent/Guardian Address Street Phone City State Zip code Email: Witness Date Group Complete prior to volunteer activities and return to: Rebuilding Together-AFF, 00000 Xxxx Xxxxxx, Xxxxx 000, Xxxxxxx, XX 00000 Email PDF to: xxxx@xxxxxxxxxxxxxxxxxx-xxx.xxx or call 000-000-0000 for additional information Rebuilding Together Arlington/Fairfax/Falls Church, Inc. MEDICAL TREATMENT AUTHORIZATION FOR PARTICIPATING MINOR (at least 14 years old) (Must be accompanied by Volunteer Agreement and Release from Liability – Minor) Name of minor: (Please print) I represent and warrant to Rebuilding Together Arlington/Fairfax/Falls Church, Inc. (RT-AFF) that I/We am/are the parent(s) or legal guardian(s) of the minor named above. The above named minor has my/our permission to participate in the RT-AFF program (the “Program). On behalf of such minor and myself/ourselves I have signed a Volunteer Agreement and Release From Liability Form – Minor (the “Release”) and hereby agree to all of the terms and conditions of the release. In case of medical or dental emergency, I request that RT-AFF attempt to contact me at the telephone number set forth below. However, I hereby give permission to the physician or dentist selected by RT-AFF to hospitalize, treat, secure proper treatment for, and order injections, anesthesia or surgery for the minor named above. A copy of this permission form may be accepted by and treated by the physician or dentist as equivalent to the original permission form. _ Name of Parent/Guardian (Please print) Signature Address: Phone: Date:

Appears in 1 contract

Samples: Risk Agreement

Knowing and Voluntary Execution. I have carefully read and understand this Agreement and Release and any questions of mine have been answered. I am aware that this is a contract and a release of liability between myself and the Released Parties and the Program which binds the Minor and me. I have signed this Agreement and Release voluntarily and of my own free will. I certify that the Minor is fourteen years of age or older. I agree that this Agreement and Release governs all of the Minor’s volunteer activities with RT-AFF during the calendar year 2022 and that I will be required to sign a new Agreement and Release if the Minor intends to volunteer for any succeeding years. . Executed in (City) , Virginia, on (date) Minor Name Minor’s Signature Parent/Guardian Name Parent/Guardian’s Signature Parent/Guardian Address Street Phone City State Zip code Email: Witness Date Group Complete This form must be completed prior to any volunteer activities and return given to the team leader, kept on site during the work day and returned to: Rebuilding Together-AFF, 00000 Xxxx Xxxxxx, Xxxxx 000, Xxxxxxx, XX 00000 Email PDF to: xxxx@xxxxxxxxxxxxxxxxxx-xxx.xxx or call 000-000-0000 for additional information Rebuilding Together Arlington/Fairfax/Falls Church, Inc. MEDICAL TREATMENT AUTHORIZATION FOR PARTICIPATING MINOR (at least 14 years old) (Must be accompanied by Volunteer Agreement and Release from Liability – Minor) Name of minor: (Please print) I represent and warrant to Rebuilding Together Arlington/Fairfax/Falls Church, Inc. (RT-AFF) that I/We am/are the parent(s) or legal guardian(s) of the minor named above. The above named minor has my/our permission to participate in the RT-AFF program (the “Program). On behalf of such minor and myself/ourselves I have signed a Volunteer Agreement and Release From Liability Form – Minor (the “Release”) and hereby agree to all of the terms and conditions of the release. In case of medical or dental emergency, I request that RT-AFF attempt to contact me at the telephone number set forth below. However, I hereby give permission to the physician or dentist selected by RT-AFF to hospitalize, treat, secure proper treatment for, and order injections, anesthesia or surgery for the minor named above. A copy of this permission form may be accepted by and treated by the physician or dentist as equivalent to the original permission form. _ Name of Parent/Guardian (Please print) Signature Address: Phone: Date:

Appears in 1 contract

Samples: rebuildingtogether-aff.org

Knowing and Voluntary Execution. I have carefully read this agreement and fully understand this Agreement its contents including the terms of the waiver in Paragraphs 2 and Release and any questions of mine have been answered3 above. I am aware that this is a contract and a release of liability between myself and the Released Parties RT-AFF and the Program which binds the Minor and me. , and I have signed this Agreement and Release voluntarily and sign it of my own free will. By signing this agreement, I certify that the Minor is fourteen years of age or older. I agree that this Agreement and Release governs all of the Minor’s volunteer activities with RT-AFF during the calendar year 2022 and that I will be required to sign a new Agreement and Release if the Minor intends to volunteer for any succeeding years. . Executed in (City) , Virginia, on (date) Minor Name Minor’s Signature Parent/Guardian Name Parent/Guardian’s Signature Parent/Guardian Address Street Phone City State Zip code Email: Witness Date Group Complete This form must be completed prior to any volunteer activities activities, keep on site during the workday and return to: returned to Rebuilding Together-AFF, 00000 Xxxx XxxxxxXx, Xxxxx #000, Xxxxxxx, XX 00000 Email PDF toPDF: xxxx@xxxxxxxxxxxxxxxxxx-xxx.xxx or call Phone: 000-000-0000 for additional information Rebuilding Together Arlington/Fairfax/Falls Church, Inc. MEDICAL TREATMENT AUTHORIZATION FOR PARTICIPATING MINOR (at least 14 years old) (Must be accompanied by Volunteer Agreement and Release from Liability – Minor) Name of minor: (Please print) I represent and warrant to Rebuilding Together Arlington/Fairfax/Falls Church, Inc. (RT-AFF) that I/We am/are the parent(s) or legal guardian(s) of the minor named above. The above named minor has my/our permission to participate in the RT-AFF program (the “Program). On behalf of such minor and myself/ourselves I have signed a Volunteer Agreement and Release From Liability Form – Minor (the “Release”) and hereby agree to all of the terms and conditions of the release. In case of medical or dental emergency, I request that RT-AFF attempt to contact me at the telephone number set forth below. However, I hereby give permission to the physician or dentist selected by RT-AFF to hospitalize, treat, secure proper treatment for, and order injections, anesthesia or surgery for the minor named above. A copy of this permission form may be accepted by and treated by the physician or dentist as equivalent to the original permission form. _ Name Signature of Parent/Guardian (Please print) Signature Address: Phone: Date:Date Phone Address 1 Medical Insurance Carrier Policy Number 2 Family Doctor Address Phone 3 Family Dentist/Orthodontist Address Phone 4 Any Drug or Food Allergies 5 Limitation on Activities 6 If I cannot be reached, please contact Phone This form must be completed prior to any volunteer activities, keep on site during the workday and returned to

Appears in 1 contract

Samples: 2019 Volunteer's Agreement

Knowing and Voluntary Execution. I have carefully read and understand this Agreement and Release and any questions of mine have been answered. I am aware that this is a contract and a release of liability between myself and the Released Parties and the Program which binds the Minor and me. I have signed this Agreement and Release voluntarily and of my own free will. I certify that the Minor is fourteen years of age or older. I agree that this Agreement and Release governs all of the Minor’s volunteer activities with RT-AFF during the calendar year 2022 2021 and that I will be required to sign a new Agreement and Release if the Minor intends to volunteer for any succeeding years. . Executed in (City) , Virginia, on (date) Minor Name Minor’s Signature Parent/Guardian Name Parent/Guardian’s Signature Parent/Guardian Address Street Phone City State Zip code Email: Witness Date Group Complete prior to volunteer activities and return to: Rebuilding Together-AFF, 00000 Xxxx Xxxxxx, Xxxxx 000, Xxxxxxx, XX 00000 Email PDF to: xxxx@xxxxxxxxxxxxxxxxxx-xxx.xxx or call 000-000-0000 for additional information Rebuilding Together Arlington/Fairfax/Falls Church, Inc. MEDICAL TREATMENT AUTHORIZATION FOR PARTICIPATING MINOR (at least 14 years old) (Must be accompanied by Volunteer Agreement and Release from Liability – Minor) Name of minor: (Please print) I represent and warrant to Rebuilding Together Arlington/Fairfax/Falls Church, Inc. (RT-AFF) that I/We am/are the parent(s) or legal guardian(s) of the minor named above. The above named minor has my/our permission to participate in the RT-AFF program (the “Program). On behalf of such minor and myself/ourselves I have signed a Volunteer Agreement and Release From Liability Form – Minor (the “Release”) and hereby agree to all of the terms and conditions of the release. In case of medical or dental emergency, I request that RT-AFF attempt to contact me at the telephone number set forth below. However, I hereby give permission to the physician or dentist selected by RT-AFF to hospitalize, treat, secure proper treatment for, and order injections, anesthesia or surgery for the minor named above. A copy of this permission form may be accepted by and treated by the physician or dentist as equivalent to the original permission form. _ Name of Parent/Guardian (Please print) Signature Address: Phone: Date:

Appears in 1 contract

Samples: Volunteer's Agreement

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Knowing and Voluntary Execution. I have carefully read this agreement and fully understand this Agreement and Release and any questions of mine have been answeredits contents. I am aware that this is a contract between me and Rebuilding Together Petaluma and a release of liability between myself and the Released Parties and the Program which binds the Minor and mepromise not to sue Rebuilding Together Petaluma. I have signed this Agreement and Release voluntarily and sign it of my own free will. I understand that I would not be allowed to participate in the program unless I signed this agreement. by signing this agreement, I certify that the Minor is fourteen I am eighteen years of age or older. I agree that this Agreement and Release governs all older or have delivered the consent of the Minor’s volunteer activities with RT-AFF during the calendar year 2022 and that I will be required my parent or guardian to sign a new Agreement and Release if the Minor intends to volunteer for any succeeding years. Rebuilding Together Petaluma. Executed in (City) , Virginia, on (date) , 2010 Email address (Signature) Volunteer Address Name of Volunteer (please print) Signature of parent or legal guardian if volunteer is not eighteen years or older. City ST Zip Area Code Phone # Medical Treatment Authorization For Participating Minor Name Minor’s Signature Parent/Guardian Name Parent/Guardian’s Signature Parent/Guardian Address Street Phone City State Zip code Email: Witness Date Group Complete prior to volunteer activities and return to: Rebuilding Together-AFF, 00000 Xxxx Xxxxxx, Xxxxx 000, Xxxxxxx, XX 00000 Email PDF to: xxxx@xxxxxxxxxxxxxxxxxx-xxx.xxx or call 000-000-0000 for additional information Rebuilding Together Arlington/Fairfax/Falls Church, Inc. MEDICAL TREATMENT AUTHORIZATION FOR PARTICIPATING MINOR (at least 14 years old) (Must be accompanied by Volunteer Agreement and Release from Liability – Minorform signed by parent or guardian) Name of minorMinor: (Please print) I represent and warrant to Rebuilding Together Arlington/Fairfax/Falls Church, Inc. (RT-AFF) Petaluma that I/We am/are I am the parent(s) parent or legal guardian(s) guardian of the minor named above. The above named minor has my/our my permission to participate in the RT-AFF program Rebuilding Together Petaluma Home Repair Program (the “Program). On behalf of such minor and myself/ourselves , I have signed a Volunteer Agreement Volunteer’s Agreement, Release and Release From Liability Form – Minor Indemnification (the “ReleaseVolunteer’s Agreement”) and hereby agree to all of the terms and conditions of the releaseVolunteer’s Agreement. In case of medical or dental emergency, I request that RT-AFF Rebuilding Together Petaluma attempt to contact me at the telephone number set forth below. However, I hereby give permission to the physician or dentist selected by RT-AFF Rebuilding Together Petaluma to hospitalize, treat, secure proper treatment for, and order injections, anesthesia or surgery for the minor named above. A copy of this permission form treatment authorization may be accepted by and treated by the any hospital, medical facility, physician or dentist as equivalent to the original permission formtreatment authorization. _ Name ( ) Date Signature of Parent/Guardian (Please print) Signature Address: Phone: DateTelephone PLEASE COMPLETE THE FOLLOWING:

Appears in 1 contract

Samples: Volunteer’s Agreement

Knowing and Voluntary Execution. I have carefully read and understand this Agreement and Release and any questions of mine have been answered. I am aware that this is a contract and a release of liability between myself and the Released Parties and the Program which binds the Minor and me. I have signed this Agreement and Release voluntarily and of my own free will. I certify that the Minor is fourteen years of age or older. I agree that this Agreement and Release governs all of the Minor’s volunteer activities with RT-AFF during the calendar year 2022 and that I will be required to sign a new Agreement and Release if the Minor intends to volunteer for any succeeding years. . Executed in (City) , Virginia, on (date) Minor Name Minor’s Signature Parent/Guardian Name Parent/Guardian’s Signature Parent/Guardian Address Street Phone City State Zip code Email: Witness Date Group Complete prior to volunteer activities and return to: Rebuilding Together-AFF, 00000 Xxxx Xxxxxx, Xxxxx 000, Xxxxxxx, XX 00000 Email PDF to: xxxx@xxxxxxxxxxxxxxxxxx-xxx.xxx or call 000-000-0000 for additional information Rebuilding Together Arlington/Fairfax/Falls Church, Inc. MEDICAL TREATMENT AUTHORIZATION FOR PARTICIPATING MINOR (at least 14 years old) (Must be accompanied by Volunteer Agreement and Release from Liability – Minor) Name of minor: (Please print) I represent and warrant to Rebuilding Together Arlington/Fairfax/Falls Church, Inc. (RT-AFF) that I/We am/are the parent(s) or legal guardian(s) of the minor named above. The above named minor has my/our permission to participate in the RT-AFF program (the “Program). On behalf of such minor and myself/ourselves I have signed a Volunteer Agreement and Release From Liability Form – Minor (the “Release”) and hereby agree to all of the terms and conditions of the release. In case of medical or dental emergency, I request that RT-AFF attempt to contact me at the telephone number set forth below. However, I hereby give permission to the physician or dentist selected by RT-AFF to hospitalize, treat, secure proper treatment for, and order injections, anesthesia or surgery for the minor named above. A copy of this permission form may be accepted by and treated by the physician or dentist as equivalent to the original permission form. _ Name of Parent/Guardian (Please print) Signature Address: Phone: Date:

Appears in 1 contract

Samples: rebuildingtogether-aff.org

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