Acknowledgement of Responsibility. I consent to medical treatment in the event of injury, accident and/or illness during the event. • In the event I am injured or become ill while participating in this event I understand and agree that I will accept responsibility for any medical bills, including co-payments and deductibles. • In the event I am injured or my property is damaged as a result of participating in this activity I will not seek reimbursement from the University of Illinois unless it is the sole negligence of the University of Illinois that caused my loss. I understand and agree to let the University of Illinois Claims Management office adjudicate the claim and will abide by their findings. • In the event that while participating in this activity I cause harm to another person or another person’s property I accept sole responsibility for my actions.
Acknowledgement of Responsibility. The school and district are not responsible for any damage caused by the use of this laptop to the student’s school files, home network, or any peripheral devices. • Education Code 48904 allows the district to obtain reimbursement from, or on behalf of, students for any damage to, loss of or failure to return school property. Student acknowledges their responsibility to protect and safeguard the laptop and to return it in the same good condition as it was received within reason. • I acknowledge that I am financially responsible for the laptop that has been issued to me/my student. • I understand the district has taken precautions to restrict access to controversial or inappropriate materials and that it is my responsibility to inform the Principal if my student accesses such material. I will not hold the district responsible for such materials acquired by my student at school or at home. RETURN THIS PAGE TO CHECKOUT A DEVICE Fontana Unified School District Laptop Distribution Agreement Signature Form I have read and understand the Laptop Distribution Agreement and agree to the terms of the agreement. I am responsible for any damage or lost laptop and/or laptop components. Student Agreement Student Full Name (Printed) Student Signature Student I.D. Number
Acknowledgement of Responsibility. The above-named Renter, as the individual requesting this reservation, is voluntarily consenting to assume the responsibility, including, but not limited to, financial responsibility, for any and all damage or loss that may occur to the Facility or its contents during the reservation. The Renter, or the Day of Event Contact identified below (if different from Renter), shall be personally present during the entire course of the Reservation Period. Day of Event Contact Cell Phone By initialing, I certify that I have read and understand the above acknowledgement of responsibility.
Acknowledgement of Responsibility. The school and district are not responsible for any damage caused by the use of this laptop to the student’s school files, home network, or any peripheral devices. • Education Code 48904 allows the district to obtain reimbursement from, or on behalf of, students for any damage to, loss of or failure to return school property. Student acknowledges their responsibility to protect and safeguard the laptop and to return it in the same good condition as it was received within reason. • I acknowledge that I am financially responsible for the laptop that has been issued to me/my student. • I understand the district has taken precautions to restrict access to controversial or inappropriate materials and that it is my responsibility to inform the Principal if my student accesses such material. I will not hold the district responsible for such materials acquired by my student at school or at home. RETURN THIS PAGE TO CHECKOUT A DEVICE Fontana Unified School District Laptop Distribution Agreement Signature Form I have read and understand the Laptop Distribution Agreement and agree to the terms of the agreement. I am responsible for any damage or lost laptop and/or laptop components. Student Agreement Student Full Name (Printed) Student Signature Student I.D. Number Date Parental Agreement As a parent or guardian of the above-named student, I have read, understand, and agree that my student shall comply with the terms in the above Laptop Distribution Form. I agree to release from liability, indemnify, and hold harmless the school, district, and district personnel against all claims, damages, and costs that may result from my student’s use of the laptop or the failure of any technology protection measures used by the District. Further, I accept full responsibility for supervision of my student’s use of his/her e-mail and internet access account if and when such access is not in the school setting. Parent/Guardian Name (Printed) Parent/Guardian Signature Parent/Guardian E-mail Address Date
Acknowledgement of Responsibility. The Owner acknowledges and agrees that it is responsible for the acts and omissions of its agents, including the Shipping Agent, its employees, servants, invitees and contractors concerning the use of the Channel.
Acknowledgement of Responsibility. The school and district are not responsible for any damage caused by the use of this laptop to the student’s school files, home network, or any peripheral devices. Education Code 48904 allows the district to obtain reimbursement from, or on behalf of, students for any damage to, loss of or failure to return school property. Student acknowledges their responsibility to protect and safeguard the laptop and to return it in the same good condition as it was received within reason. I acknowledge that I am financially responsible for the laptop that has been issued to me/my student. I understand the district has taken precautions to restrict access to controversial or inappropriate materials and that it is my responsibility to inform the Principal if my student accesses such material. I will not hold the district responsible for such materials acquired by my student at school or at home. RETURN THIS PAGE TO CHECKOUT A DEVICE Fontana Unified School District Laptop Distribution Agreement Signature Form I have read and understand the Laptop Distribution Agreement and agree to the terms of the agreement. I am responsible for any damage or lost laptop and/or laptop components. Student Agreement Student Full Name (Printed) _____________________________________________________________________ Student Signature _____________________________________________________________________________ Student I.D. Number ___________________________________________________________________________
Acknowledgement of Responsibility. The policy at the University of Illinois is that I have accident and health insurance coverage through the University Student Health Insurance Plan, through my parent’s health insurance plan, or through insurance coverage I purchased prior to starting lab activities. In the event I am injured or become ill while participating in this activity I understand and agree that I will submit all bills to the applicable health insurance plan(s). I accept responsibility for any uncovered portion of any medical bills, including co-payments and deductibles. In the event my property is damaged as a result of participating in this activity I will not seek reimbursement from the University of Illinois unless it is the sole negligence of the University of Illinois that caused my loss. I understand and agree to let the University of Illinois Claims Management office adjudicate the claim and will abide by their findings. In the event that while participating in this activity I cause harm to another person or another person’s property I accept sole responsibility for my actions. Acknowledgment of Risks I, the above named person, understand and acknowledge that the activities I am about to voluntarily engage in as a participant have certain unknown and unanticipated risks associated with them. Such risks include but are not limited to injury or illness to myself; damage to my property; or death. There is also the possibility that my engaging in such activities could cause injury or harm to a person other than myself. The risks involved in participating in research activities in the laboratories of Xxxx. Xxxxx Xxxxxxx at the Institute for Genomic Biology, the University of Illinois, Urbana-Champaign are outlined below. I understand and acknowledge that the description of risks below is not complete or exhaustive, and that other risks, known or unknown, identified or unidentified; anticipated or unanticipated may also result in injury, illness, or death of myself, my property or other third parties. I expressly accept those risks not specifically listed above as well. Acknowledgement of Risks Institute for Genomic Biology, University of Illinois, Urbana-Champaign Preamble The research chemistry laboratory presents many hazards that are significantly different from what participants are exposed to in everyday life. These hazards can be quite severe and are not to be taken lightly. “In particular, laboratories in which chemicals are used must be prepared to deal with substances k...
Acknowledgement of Responsibility. By signing this form, the parent/legal guardian and student assumes responsibly of the device being checked out, and agrees that Columbus City School District will not be held liable in any way for the actions of those who have checked out the Chromebook. Xxxxx assessed for damaged or missing equipment are as follows: □ Chromebook Replacement - $290.00 □ Chromebook Screen - $50.00 □ Chromebook Keyboard/touchpad - $50.00 □ Chromebook Power cord/charger - $35.00 Parent/legal guardian and student agree by their signatures to assume the responsibility and liability for any inappropriate or illegal acts associated with using this equipment. These inappropriate uses would include, but are not limited to, software licensing violations, software piracy, and inappropriate or illegal activities carried out in part or whole using email, online chat, online forums, or the Internet. Columbus City Schools does not bear any responsibility or liability for any inappropriate or illegal use of this computer. Parent/legal guardian and student further agree and understand that there is no right of privacy in the use of this computer. Ohio Revised Code 3313.642 allows Columbus City Schools to withhold grades and credits for failure to pay required fines and fees. Parent/legal guardian understand and acknowledge that if the above fines are not paid for damaged or missing equipment, Columbus City Schools reserves its right to withhold the student’s grades and credits. I ACKNOWLEDGE AND UNDERSTAND THESE OBLIGATIONS: Student Name (printed) Student Signature Date
Acknowledgement of Responsibility. LICENSEE acknowledges that the Site has been identified by CITY as being essential to CITY’s fulfilling its mission of public safety and well-being, and the necessity for CITY and LICENSEE’s diligence in safeguarding and restricting access to the Site and protecting CITY property, of all kinds, at said Site. LICENSEE warrants that it will not disturb or tamper with any CITY equipment, to include, but not limited to, electronic, electrical, LPG, buildings, towers, grounding systems, antennas, feed lines, etc., at the Site, except as otherwise permitted hereunder. LICENSEE shall be liable for all claims, demands, actions, and causes of action to the extent caused by the negligence or otherwise wrongful conduct on the part of any agent, contractor or employee of LICENSEE related to LICENSEE’s installation/maintenance or operation of LICENSEE’s Improvements on the Site, except to the extent caused by CITY or its agents, contractors or employees. Further, LICENSEE shall release, remise, and forever discharge CITY of and from any and all claims, demands, actions, and causes of action, except to the extent caused by the intentional acts or negligence of CITY or CITY’s agents, contractors or employees, which LICENSEE may acquire by reason of LICENSEE’s installation/maintenance or operation of LICENSEE’s Improvements on the Site.
Acknowledgement of Responsibility. In consideration of services provided and other good and valuable consideration, the undersigned, hereby acknowledges and affirms that South Pacific Island Travel (its agents and employees) is acting solely in its capacity as an agent in arranging and securing certain transportation, hotel, travel packages and other associated travel services for the undersigned. The undersigned further acknowledges and affirms that he/she understands that it is his/her sole responsibility to obtain any required travel documents (passport/visas) and/or immunizations to insure proper and safe transit and travel to certain destinations. Purchaser/customer further acknowledges and affirms that due to the present state of global and political unrest and terrorism, South Pacific Island Travel does not, and cannot, attest to, warrant or guarantee the safety of the undersigned during travel or transit to any destination or country, especially those which have, or are presently the subject of a United States Department of State’s Travel Warning.
