NAME OF ATHLETE Sample Clauses

NAME OF ATHLETE. In consideration for my membership on the Rebounders Gymnastics Team, I agree to be bound by each of the following: TRANSPORTATION WAIVER AND RELEASE: In the event that transportation is provided to an activity by Rebounders Gymnastics, Inc., I hereby give permission for my child to travel to and from those activities in the vehicle provided and agree not to hold Rebounders Gymnastics, Inc., its directors, officers, agents or employees liable for any accident or injury suffered or contracted in connection with such travel. MEDICAL ATTENTION: I hereby give my consent for Rebounders Gymnastics, Inc. to provide, through a medical staff of its choice, customary medical/athletic training attentions, transportation, and emergency medical services as warranted in the course of my participation in Rebounders Gymnastics, Inc. activities. I further authorize the above designated to execute that consent required in connection with such advice or treatment. I hereby release said persons from and agree to indemnify them against any liability arising out of the exercise of the authority here granted. I understand that the consent and authorization herein granted does not include major surgical procedures, unless necessary to save the individual’s life. This consent is valid for one year from the date indicated below. A Xerox, photocopy, or carbon copy of this authorization shall be considered as effective and valid as the original. I understand that I will be contacted as soon as possible in the event that my child is brought to the hospital for treatment. If I am not available, please contact: Emergency contact: Phone # Relationship to gymnast: _ I also consent to the release of a report containing diagnosis and other medical information related to the examination and treatment of the above patient to such agencies, including insurance companies, as might be considered with payment of charges for hospital services. Insurance Carrier Policy Number _ Name of person holding the policy Address City State Zip Home Phone # Work Phone # Cell Phone # Signature of Parent/Guardian Printed name of Parent/Guardian Relationship to Child Date WAIVER AND RELEASE OF LIABILITY DISCLAIMER: REBOUNDERS GYMNASTICS IS NOT RESPONSIBLE FOR ANY INJURY (OR LOSS OF PROPERTY) TO ANY PERSON WHILE PRACTICING, TAKING CLASS, COMPETING, PARTICIPATING IN OPEN GYM, OR IN ANY OTHER WAY INVOLVED IN GYMNASTICS AT REBOUNDERS GYMNASTICS CLUB FOR ANY REASON WHATSOEVER, INCLUDING ORDINARY NEGLIGENCE ON THE PAR...
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Related to NAME OF ATHLETE

  • Name of Xxxxx(s) 2. The named person's role in the firm, and

  • Name of Company The name of the Company shall be as set forth in the Certificate.

  • Name of Felon(s) 2. The named person's role in the firm, and

  • Name; Address Unless you have promptly notified the Manager In Writing otherwise, your name as it should appear in the Registration Statement, Prospectus or Offering Circular and any advertisement, if different, and your address, are as set forth on the signature pages hereof.

  • Name of Fund The Trust may use the name “Harbor Funds” or any name derived from the name “Harbor Capital Advisors” in connection with the Fund only for so long as this Agreement or any extension, renewal or amendment hereof remains in effect, including any similar agreement with any organization which shall have succeeded to your business as investment adviser. At such time as such an agreement shall no longer be in effect, the Trust (to the extent that it lawfully can) will cause the Fund to cease to use such a name or any other name indicating that it is advised by or otherwise connected with you or any organization which shall have so succeeded to your business. INVESTMENT ADVISORY AGREEMENT HARBOR FLEXIBLE CAPITAL FUND MARCH 1, 2011

  • Please (a) Issue a check payable to Borrower or

  • Legal Name Enter the legal name of the U.S. nonprofit organization or government entity applying for indemnity as it appears in the current IRS 501(c)(3) status letter or in the official document that identifies the organization as a unit of state or local government, or as a federally recognized tribal community or tribe. If an exhibition is being shown at several venues, one organization should apply on behalf of all participants. The Federal Council on the Arts and the Humanities requires that the applicant must have previously organized at least one museum-caliber exhibition containing objects borrowed from one or more public and/or private collections.

  • Name of the Company The name of the Company shall be “MARSTE, LLC”. The Company may do business under that name and under any other name or names upon which the Manager may, in such Manager’s sole discretion, determine. If the Company does business under a name other than that set forth in its Articles of Organization, then the Company shall file a fictitious name registration as required by law.

  • Full Name Position: ................................................ Position: ................................................ Date: ..................................................... Date: .....................................................

  • Company Name The Members may change the name of the Company or operate under different names, provided a majority of the Members agree and the name complies with Section 00-00-000 of the Act.

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