Common use of Specific Information Clause in Contracts

Specific Information. Include any other specific plan information or requirements in the space below (optional): Name: Relationship: Home Phone: Work Phone: Cell Phone: Name: Relationship: Home Phone: Work Phone: Cell Phone: I UNDERSTAND THAT THIS PLAN HAS NOT BEEN APPROVED UNTIL I HAVE MET WITH THE HUMAN RESOURCES MANAGER. I UNDERSTAND THAT, IF ANYTHING ABOUT MY PLAN CHANGES, I WILL NEED TO MEET ONCE AGAIN WITH THE HUMAN RESOURCES MANAGER TO DISCUSS THE CHANGES AND TO GET MY NEW PLAN APPROVED. Signature of Parent/Employee Date Immediate Supervisor Date Department Manager Date Human Resources Manager Date By signing this Agreement, I certify that I have read the Infant-at-Work Program Guidelines. I understand and agree to comply with the terms and conditions set forth in the Program Guidelines. I further understand and agree that, in the event I fail to comply with such terms and conditions or otherwise fail to meet any Program criteria currently in the policy or that may be added to the policy and conveyed to me in writing, my Program eligibility may be terminated, requiring me to remove my baby from the workplace within a reasonable period of time. I acknowledge that [COMPANY] reserves the right to cancel or retire the Program in part or in its entirety at any time, thus requiring me to remove my baby from the workplace within a reasonable period of time. In this event, I understand that [COMPANY] will accommodate a reasonable period of time for me to take my infant to a different care setting. Signature of Parent Date

Specific Information. Include any other specific plan information or requirements in the space below (optional): Name: Relationship: Home Phone: Work Phone: Cell Phone: Name: Relationship: Home Phone: Work Phone: Cell Phone: I UNDERSTAND THAT THIS PLAN HAS NOT BEEN APPROVED UNTIL I HAVE MET WITH THE HUMAN RESOURCES MANAGER. I UNDERSTAND THAT, IF ANYTHING ABOUT MY PLAN CHANGES, I WILL NEED TO MEET ONCE AGAIN WITH THE HUMAN RESOURCES MANAGER TO DISCUSS THE CHANGES AND TO GET MY NEW PLAN APPROVED. Signature of Parent/Employee Date Immediate Supervisor Date Department Manager Date Human Resources Manager Director Date By signing this Agreement, I certify that I have read the Infant-at-Work Program Guidelines. I understand and agree to comply with the terms and conditions set forth in the Program Guidelines. I further understand and agree that, in the event I fail to comply with such terms and conditions or otherwise fail to meet any Program criteria currently in the policy or that may be added to the policy and conveyed to me in writing, my Program eligibility may be terminated, requiring me to remove my baby from the workplace within a reasonable period of time. I acknowledge that [COMPANY] ELC of Osceola County reserves the right to cancel or retire the Program in part or in its entirety at any time, thus requiring me to remove my baby from the workplace within a reasonable period of time. In this event, I understand that [COMPANY] ELC of Osceola County will accommodate a reasonable period of time for me to take my infant to a different care setting. Signature of Parent Date