Please initial here. TO ACKNOWLEDGE YOU WERE INFORMED OF YOUR 3 DAY RIGHT TO CANCEL THIS TRANSACTION. Please Note the Following:
Please initial here. (page 1 of 4 total pages) I will notify my future employer(s) of my participation in the Build Dakota Scholarship program and the employment commitment I have made.
Please initial here. I agree that my assignees, heirs, distributors, guardians and other legal representatives will not make a claim against, or xxx for injury or damage resulting from the negligence or other acts, howsoever caused, by any employee, agent, or volunteer contractor of the organization as a result of my participation as a volunteer. I hereby release St. PJ’s Children’s Home/Seton Home/Catholic Charities from all actions, claims, or demands that I, my assignees, heirs, guardians and legal representatives now have or may hereafter have for injury resulting from my participation as a volunteer. Please initial here: _ I or parent/guardian of minor gives St. PJ’s Children’s Home/Seton Home/Catholic Charities the unlimited authority to use and publish in any locality the film, recordings and/or photographs taken of me or minor in whole or in part and authorize use of my name in any form of advertising or publicity. I or parent/guardian of minor have fully read and understand the above and acknowledge this constitutes a full agreement between me and St. PJ’s Children’s Home/Seton Home/Catholic Charities and its affiliates, and I will not receive any compensation for the foregoing in the future from St. PJ’s Children’s Home/Seton Home/Catholic Charities or any other source. Please initial here: I have carefully read this agreement and fully understand its contents. Date: Volunteer’s Name: Signature: Volunteer's Address: __ Street City Zip Code
Please initial here. (page 2 of 4 total pages) I agree that in the event I fail to meet the terms or circumstances listed above, I will no longer be eligible for additional Build Dakota Scholarship funds. I understand that I may cancel this scholarship while I am a full-time student by repaying all proceeds that were issued for my benefit, provided that all of the proceeds are repaid prior to the end of the semester in which the decision to cancel the scholarship is made. If I am unable to repay the funds prior to the end of the semester in which the decision to cancel the scholarship is made, the scholarship will convert to an interest-bearing loan and I must pay back the scholarship, applicable interest, collection costs and attorney fees for the portion of the scholarship I received, to date. Appeals for extenuating circumstances will be taken to the Build Dakota Scholarship Administration Board. I authorize the Governor of South Dakota, the Build Dakota Scholarship Administration Board or its agents and the technical institute at which I have accepted the scholarship to publically release my name, school (if applicable) and city when announcing the Build Dakota Scholarship recipients. I authorize the Build Dakota Scholarship Administration Board or its agents to release information pertinent to this scholarship to the references listed below, my future employers and to members of my immediate family. In signing this agreement, I accept that it is fair and binding. I understand and accept all of the terms and conditions of the agreement and will adhere to them. The authorizations I have made will stand throughout my education and employment commitment. If I choose to alter any authorization, I must provide directions for change in writing to the Build Dakota Scholarship Administration Board. Under penalty of perjury, I certify that the information I have provided on the Build Dakota Scholarship Acceptance Agreement is true, complete, and accurate to the best of my knowledge. Signature of Build Dakota Scholar Date Parent/Guardian Signature, if Scholar is under the age of 18 Date Recipient Information The information provided on this Acceptance Agreement will be shared and released as authorized in the agreement, including verifying education and employment records. The scholarship recipient’s Social Security Number may be used as an account identifier. Should the scholarship convert into an interest-bearing loan, this information will be used in the servicing and collection ...
Please initial here. This contract shall be legal and binding hereupon and will include any and/or all boarding/daycare services henceforth. This contract contains the entire agreement and shall be binding upon heirs, personal representatives, executors, administrators, or any other person acting on behalf of either party. Any controversy arising from this agreement will be settled in arbitration according to the Montana Arbitration Laws with the expense of such paid by the owner regardless of prevailing party. I understand and agree with the boarding and daycare agreement and by my signature acknowledge my receipt of copy: Signature: Date: Waiver, Medical Power of Attorney, Authorization and Acknowledgements I, the undersigned owner of a dog(s) named , do hereby release, indemnify and forever hold harmless Nottwoweepeetaukee LLC, DBA Pawsitively Perfect, its employees, officers, agents, subcontractors, customers, visitors, and guests from any and all liabilities (including attorney’s fees) arising out of or connected with injuries, illness, loss damage or other harm to myself, my dog(s), my property, and my guests and invitees which arise in any way out of services and /or products provided by or as a consequence of my association with Pawsitively Perfect. I acknowledge that dogs are unpredictable in behavior, and I understand that injuries to my pet, my guests, and myself might reasonably be foreseen to result from my dog’s attendance and participation with Pawsitively Perfect. I am fully aware that Pawsitively Perfect encourages off-leash socialization and interaction of dogs in its custody and care and accordingly I assume any and all risks related to Pawsitively Perfect’s performance of its services, including but not limited to bites, bodily injury, illness and disease, theft, falls, collisions with vehicles, natural disasters and death. I also agree to assume all liabilities, costs, damages, claims and expenses that may occur as a result of my pet’s actions. If, in my absence, my dog should be injured, become ill or suffer an ailment or is otherwise deemed by Pawsitively Perfect to require immediate medical attention, Pawsitively Perfect, in its sole discretion, is authorized to make all health care decisions on my behalf, and may utilize the service of a licensed veterinarian to administer medicine or give other requisite attention to my pet(s) at my sole expense. I hereby indemnify Pawsitively Perfect from any action, claim, demand or lawsuit (including attorney’s fee...
Please initial here. B. If I, anyone on my behalf, or anyone I injure makes a claim against The Ride, The Company, or Ride Supporters I WILL INDEMNIFY, SAVE, AND HOLD HARMLESS EACH OF THE RIDE SUPPORTERS AND COMPANY MEMBERS FROM ANY LITIGATION EXPENSES, ATTORNEY’S FEES, LOSS LIABILITY, DAMAGES OR COSTS EACH OF THE RIDE SUPPORTERS OR COMPANY MEMBERS MAY INCUR AS THE RESULT OF ANY CLAIM ARISING OUT OF MY PARTICIPATION WITH THE RIDE; Please Initial Here
Please initial here. THEREFOR, in consideration of the covenants and conditions hereinafter contained, IT IS HEREBYAGREED by and between the parties hereto as follows:
Please initial here. 16. TENANT must give a 30 day written notice to ABM before taking boat out of storage.
Please initial here. 17. TENANT is required to supply full mooring cover, ropes and 4 bumpers so that the boat will not be damaged when it is taken out of storage and docked, awaiting pick-up.
