Required Signature. I have read all of the reservation policy information and by signing below, I agree to comply with the provisions of this reservation agreement. I understand that my security deposit may be forfeited or I may be billed for any additional expense should any of the aforementioned requirements be ignored or abused, or if any damages are a result of the actions of my reservation. Owner acknowledges that the Wild Dunes Community Association does not assume any responsibility for, nor shall the Association have any liability for, the actions or inactions of the owner and his or her guests and invitees or for any injury, damage or loss any person may sustain while using the facility or in connection with or as a result of any activity, including consumption of alcohol or other intoxicating substances, engaged in by any person while using the facility. Owners on behalf of himself, his heirs, successors and assigns, and on behalf of his or her guests and invitees, their heirs, successors, and assigns hereby releases the Association and its employees, directors, shareholders, agents, members, successors and assigns, from any claims which owner, his or her guests, and invitees, now have or may hereafter have which are related in any way to any loss, damages or injury that may be sustained in connection with their use of the facilities or as a result of any activity, including consumption of alcohol or other intoxicating substances, engaged in while using the facility. Events where alcohol is served the owner making the reservation is responsible for the behavior and safety of his or her guests. Owners on behalf of himself, his heirs, successors and assigns, agrees to indemnify, defend and hold harmless the the Association and their employees, directors, shareholders, agents, members, successors, and assigns against any and all claims, demands, damages, costs and expenses, including reasonable attorney fees arising from the use of the facilities, including the buildings and sidewalks adjoining same, by the owner, his or her guests, and invitees, or as result of any activity including consumption of alcohol or other intoxicating substances, engaged in by any such person while using the facility. In the event any action or proceeding is brought against the Association, their employees, directors, shareholders, agents, members, successors, or assigns by reason of any such claim, owner covenants and agrees to pay all costs of defense of such action or proceeding by counse...
Required Signature. I have read all of the rental policy information and agree to comply with my signature below. I understand that my security deposit may be forfeited or I may be billed for any additional expense should any of the aforementioned requirements be ignored or abused, or if any damages are a result of the actions of my rental. Signature: Date: The City of Kennesaw reserves the right to refuse application for good cause or to revoke the rental applicant’s permit privileges. If this occurs, we will attempt to notify you as soon as possible.
Required Signature. As the Authorized Representative of [insert name of applicant organization] , I hereby certify to the best of my ability that the above responses are honest and true. Signature of Authorized Representative Date Appendix F – Bi-Annual Infrastructure Progress Development Measures STATE ADOLESCENT TREATMENT ENHANCEMENT AND DISSEMINATION & STATE ADOLESCENT AND TRANSITIONAL AGED YOUTH TREATMENT ENHANCEMENT AND DISSEMINATION BI-ANNUAL INFRASTRUCTURE PROGRESS DEVELOPMENT MEASURES OMB #: 0930-0344 Expiration Date: 10/31/2017 Instructions: Please respond to all questions in the survey using information collected and funded activities completed in the past 6-month period (since the last reporting period). Please do not copy and paste responses provided in previous bi-annual survey.
Required Signature. As the Authorized Representative of [insert name of applicant organization] _________________________________________________, I hereby certify to the best of my ability that the above responses are honest and true. __________________________________________ ______________ Signature of Authorized Representative Date Appendix F – Bi-Annual Infrastructure Progress Development Measures STATE ADOLESCENT TREATMENT ENHANCEMENT AND DISSEMINATION & STATE ADOLESCENT AND TRANSITIONAL AGED YOUTH TREATMENT ENHANCEMENT AND DISSEMINATION BI-ANNUAL INFRASTRUCTURE PROGRESS DEVELOPMENT MEASURES OMB #: 0930-0344 Expiration Date: 10/31/2017 Instructions: Please respond to all questions in the survey using information collected and funded activities completed in the past 6-month period (since the last reporting period). Please do not copy and paste responses provided in previous bi-annual survey.
Required Signature. I authorize Xxxxx Lutheran High School and Vanco Services, LLC to process debit entries to my account. I understand that this authority will remain in effect until I provide reasonable notification to terminate the authorization. Authorized Signature Date CREDIT CARD (please note, a 4% fee will be added to the amount above if paying by credit card) Check one: Visa MasterCard Discover Card Credit Card Number Expiration Date _ 3 digit code on back of card Billing Address (if different from above): I authorize Xxxxx Lutheran High School to charge my credit card in accordance with the information above. Signature (as it appears on the credit card): Date OVER POLICY Tuition and fees are to be paid according to the payment plan selected. Late or delinquent payment of tuition can result in fines or dismissal from school. Transcripts and diplomas cannot be issued for students with accounts in arrears. Refunds: The application fee and the registration fee are non-refundable. A written statement is required to withdraw your student from school and also to request a refund of tuition. Tuition refund policy is as follows: withdraw during 1st quarter -3/4 of tuition; withdraw during 2nd quarter - 1/2 of tuition; withdraw during 3rd quarter 1/4 of tuition; withdraw during 4th quarter - no refund. OVERDUE ACCOUNTS • An account is overdue if payment is not received by the 1st day of the month. A $25 late fee will be added after the 10th. • When an account is 30 days overdue, a reminder will be mailed to the home, and a $25 per month service charge will be added. • When an account is 60 days overdue, another notice will be mailed to the home. This notice will state that, unless the account has been brought up-to-date, within another 30 days, the privilege to attend Lutheran High School will have been forfeited, and the student will not be admitted to classes until the account has been paid OR until satisfactory arrangements have been made, in writing, with the Executive Committee. (This forfeiture takes place on the 91st overdue day.) An additional $25 late fee will apply. • When an account is 91 days overdue, the student may be excluded from classes. A final notice will be sent indicating that the account will be turned over to a collection agency and/or attorney for collection. Any fees associated with the collection agency and/or attorney will be your responsibility. • Any student with an unpaid balance from the previous school-year shall forfeit admission for any succe...
Required Signature. The parties identified below agree to the provisions and terms of this MOU. APPROVED:
Required Signature. 10. Delivery, inspection and final acceptance points.
Required Signature. Blind Brook School District Network User I understand and will abide by the provisions and conditions of the district’s Acceptable Use Policy. I understand that any violations of the above provisions may result in disciplinary action, the revoking of my user account, and appropriate legal action. As a condition of network use I am obligated to report any use of the District technology systems in a manner inconsistent with or in violation of the Terms and Conditions listed above.
Required Signature. Executive Director, Authorized Representative, or Chancellor of Postsecondary Institution: Printed Name Signature Date Officer of the Board (if applicable): Printed Name Signature Date Questions about this grant opportunity: Xxxxxx Xxxxxx, Program Officer xxxxxxxx@xxxxxxxxxxxxxxxxx.xxx Direct Line: 000-000-0000 Questions about online submission: Xxxxxxxx Xxxx, Programs Assistant xxxxxxxx@xxxxxxxxxxxxxxxxx.xxx Direct Line: 000-000-0000 The Rapides Foundation: 000-000-0000 or toll-free 000-000-0000
Required Signature. I (Print full legal name) hereby known as “Client” in this agreement, agree to all matters of this LP (Limited Partnership) formed with Digital Capital Partners LLC known as “the Crypto Trading Advisor” otherwise known as GP (General Partner) on this date of , . Sign here:
