Policy and Agreement Sample Contracts

GUARDIANSHIP POLICY AND AGREEMENT
Policy and Agreement • March 6th, 2023

Please note that aspects of this Policy are superseded by our procedures in time of Covid-19 and related matters. The general principles still apply however.

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Water & Sewer Connection Policy and Agreement
Policy and Agreement • October 4th, 2022
Personal Care Attendant Policy and Agreement
Policy and Agreement • April 7th, 2022

Students with disabilities who need assistance with daily living activities within a residential setting and/or classroom should retain the services of a Personal Care Attendant (PCA). A PCA provides personal care or assistance in daily living activities, such as dressing, transferring to and from a wheelchair, feeding, personal hygiene and navigating the campus.

Guardianship Policy and Agreement
Policy and Agreement • January 28th, 2022

For the purpose of this policy ‘the school’ refers to all Haberdashers’ Monmouth Schools namely Monmouth Prep School, Monmouth School for Boys and Monmouth School for Girls.

Financial Policy and Agreement
Policy and Agreement • July 27th, 2015

Thank you for choosing us as your healthcare provider. We are committed to providing you with the best possible medical care. Please understand that payment of your bill is considered a part of your treatment. The following is provided to avoid any misunderstanding or disagreement concerning payment for services, tests, and supplies provided by our office.

Pet Policy and Agreement Form
Policy and Agreement • August 11th, 2020

v Responsibility of Pet Behavior. My signature below confirms my personal responsibility for the behaviour of my pet during our stay at El Monte Sagrado.

PARENT/GUARDIAN CONSENT AND STUDENT ACCEPTABLE USE POLICY AND AGREEMENT
Policy and Agreement • March 24th, 2022

All statements and policies in this Consent and Student Acceptable Use Policy and Agreement govern Student use of district electronic information resources (“EIR”) including the internet, whether Student is accessing the district EIR via district technology or via personal electronic devices, and whether Student is on or off campus at the time.

Financial Policy and Agreement
Policy and Agreement • March 9th, 2015

Thank you for choosing us as your healthcare provider. We are committed to providing you with the best possible medical care. Please understand that payment of your bill is considered a part of your treatment. The following is provided to avoid any misunderstanding or disagreement concerning payment for services, tests, and supplies provided by our office.

Conatus Federation of Primary Schools ACCEPTABLE USE POLICY AND AGREEMENT
Policy and Agreement • December 3rd, 2021

This policy applies to staff members and governors, and all users of the School’s ICT systems are expected to read and understand this policy. To confirm acceptance of the policy, users will sign an Acceptable Use Agreement which is attached to this policy. Breach of this policy may result in disciplinary action.

USE POLICY AND AGREEMENT
Policy and Agreement • June 24th, 2022

All meetings, demonstrations, public and private gatherings, and other events that will take place in the buildings or grounds of the Statehouse and its surrounding grounds during normal business hours must have the prior written approval of the Indiana Department of Administration (IDOA).

IT ACCEPTABLE USE POLICY AND AGREEMENT LEARNERS
Policy and Agreement • January 5th, 2022

The College provides a range of ICT resources which are available to learners. In order to ensure the safety of our systems, data and ultimately our learners, it is important that all users follow the guidelines detailed below.

SALEM AREA HISTORICAL SOCIETY (SAHS) RENTAL POLICY AND AGREEMENT
Policy and Agreement • April 5th, 2022

Salem Area Historical Society (SAHS) has facilities available for rent for classes, Girl / Boy Scout events, weddings, showers, birthday parties, reunions, etc.

Harrison County Community Foundation
Policy and Agreement • June 30th, 2021

The Harrison County Community Foundation (HCCF) has re-opened the conference room following a closure period due to COVID-19. Outside groups utilizing the conference room assume any risk or liability related to the possible spread of COVID-19. The HCCF, HCCF Supporting Organization or HCCF Real Estate Supporting Organization are not responsible or liable for monitoring behaviors, including masks and social distancing related to COVID-19. The availability of the HCCF conference room is subject to change at any time depending on current health conditions, including the possibility of closing at any time.

The Cooper Union Locker Policy and Agreement
Policy and Agreement • August 23rd, 2022

It is the policy of The Cooper Union to provide a locker to any Cooper Union student who requests a locker. By registering for a locker, the student agrees to comply with the regulations set forth in this agreement. Anyone found in violation of this agreement will forfeit their locker; the locker will be emptied; and the contents will be discarded.

Sedbergh School Educational Guardianship Policy and Agreement
Policy and Agreement • June 26th, 2023

In this document, the term ‘Guardian’ refers to an Educational Guardian, which involves a delegation of parental responsibility, usually for short periods of time. This is distinct from a Legal Guardian, which refers to a person who is appointed by a court of law to care for a child when a parent or guardian has died, or to a person acting as a guardian of a child’s estate. In this document the term ‘School’ shall refer to Sedbergh School and Casterton Sedbergh Preparatory School.

Laptop Loan Policy and Agreement
Policy and Agreement • March 26th, 2020

In response to the COVID-19 crisis The City University of New York (CUNY) is helping as many people as possible by providing loaner internet ready computer and tablet equipment to actively enrolled students and currently employed faculty, and staff. The policy below outlines the responsibilities that you must accept if you are issued this equipment on loan. All equipment will be loaned by their home college on a first come, first served basis.

GUARDIANSHIP POLICY AND AGREEMENT
Policy and Agreement • February 28th, 2024

It is a condition of entry to Bedstone College that all students whose parents live overseas appoint a guardian to act on their behalf.

Financial Policy and Agreement
Policy and Agreement • December 29th, 2020

Thank you for choosing Amaryllis Therapy Network. We look forward to working with you and your child to meet your child’s therapeutic needs. In that effort, we have developed a financial responsibility policy to avoid any misunderstanding and to ensure timely payment for therapy services. Our practice firmly believes in honesty and transparency. If you have any questions, please call our office at 303.433.0852.

Guardianship Policy and Agreement
Policy and Agreement • January 9th, 2024

Headmaster Eugene du Toit Author Simon Costello – Head of Boarding Date Reviewed January 2024 Date of Next Review January 2025 Website Yes

P ET POLICY AND AGREEMENT
Policy and Agreement • May 3rd, 2019
Patient Financial Policy and Agreement
Policy and Agreement • December 27th, 2022

Edinger Medical Group (EMG) is committed to serving your healthcare needs. Please understand payment of your bill is considered part of your healthcare relationship with our medical group and

Saint Joseph School BYOD Acceptable Use Policy and Agreement
Policy and Agreement • December 10th, 2014

The introduction of the Bring Your Own Device (BYOD) program has warranted an addendum to our Technology Acceptable Use Policy. This addendum is necessary to take advantage of the learning potential this program offers. This policy is designed to complement already established policies that set a framework for responsible and ethical use of technology, protecting the privacy and ensuring the safety of our students and teachers. It requires that this form be reviewed, signed, and returned. This policy applies to all technology resources brought into the school.

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LEGACY DENTAL GROUP FINANCIAL POLICY AND AGREEMENT
Policy and Agreement • January 20th, 2014

We realize that every person’s financial situation is different. For this reason we have worked hard to provide a variety of payment options to help you receive the dental care needed to enjoy a healthy and confident smile while respecting to your budget. With regards to dental insurance or benefits, we are happy to file the forms necessary to see that you receive the full benefits of your coverage; however we can make no guarantee of any estimated coverage. Because the insurance policy is an agreement between you and the insurance company, we ask that all patients be directly responsible for all charges. Please know that we will do everything possible to see that you receive the full benefits of your policy. If for some reason your insurance company has not paid the estimated portion within 30 days from the date of treatment, you are responsible for payment at that time. Please present your insurance card at each visit. To better serve you, all insurance information must be provided a

Confidentiality Practice Policy and Agreement
Policy and Agreement • September 26th, 2021

Privacy is important for patients seeking treatment and Wellcore Psychiatry of Maryland, LLC strongly protects this right. However, there are exceptions to confidentiality. Information will be shared without confidentiality release in cases where a client is a danger to self or others (Please see the HIPAA notice for more detail explanation and exceptions). Other areas of confidentiality include insurance. Wellcore Psychiatry does work with some insurance groups. If you choose to use accepted insurance plan or you may request reimbursement from your insurance, your medical information will be shared with your insurance company. At a minimum, insurance companies require the type of service provided and diagnosis codes. Lastly, if outstanding balances remain and not addressed adequately, treatment information may be released for collection agency purposes.

CITY OF CLOVIS TECHNOLOGY USERS POLICY AND AGREEMENT
Policy and Agreement • April 1st, 2020
Moveable Technology Equipment Policy and Agreement
Policy and Agreement • January 30th, 2024

Northwest Louisiana Technical Community College encourages all faculty and staff to use technology to facilitate work in the classroom, office, at meetings, and trainings. To assist employees with technology use, the College will, at times, issue moveable technology equipment (i.e. - iPads, laptop computers, hot spots and/or cell phones). The devices issued are provided to assist with job responsibilities and are not for personal use. It is expected that employees will need to be mobile with these devices, so this policy is to assist employees to better understand their responsibilities when issued moveable equipment.

Technology Policy And Agreement
Policy and Agreement • February 28th, 2017

Adolescence is fundamentally a time for the development of cognitive and social skills necessary to navigate a complex, multi-layered adult world. As a Montessori program, we are committed to the healthy development of the whole person, and we recognize both the need for proficiency with technology and the importance of cultivating innate human potential. Social skills are developed primarily through personal interaction, face-to-face communication, and collaboration in group pro- cesses. At Hershey Montessori School, we are dedicated to nurturing personal human interactions for 12- to 18-year-olds and, therefore, limit efficient and appropriate use of communication technologies as resource tools. Students and families must understand and agree with our policy that limits individual screen time (computers and internet activities) to aca- demic use, emailing, and limited, appropriate exploration of websites of personal interest. We do not use telephones as internet access tools.

FINANCIAL POLICY and AGREEMENT
Policy and Agreement • November 28th, 2022

We value our patients and are committed to the highest quality of care from our Doctor and Staff. We are happy to discuss our fees or office financial policy at any time.

Team Travel Policy and Agreement
Policy and Agreement • July 21st, 2023
National Ranching Heritage Center Photography Policy and Agreement
Policy and Agreement • July 15th, 2021

The National Ranching Heritage Center is part of the Texas Tech University system and the State of Texas. Licensing regulations prohibit photographic images or videography of National Ranching Heritage Center structures and the use of its logo and the words “National Ranching Heritage Center” and “Texas Tech University” and any of its variations for commercial purposes without prior permission granted in writing by the executive director. For information on commercial photo projects or to rent the facility for a private photography or videography shoot, contact Vicki Quinn-Williams during regular business hours at (806) 742-0498.

Hybrid Work Policy and Agreement
Policy and Agreement • February 23rd, 2023

To establish a framework for remote work. To set expectations, requirements and guidelines. The Remote Work Policy does not guarantee employees the ability to work remotely. Not all positions or employees will be suitable or eligible for remote work. Remote work is a privilege not a guarantee. As such, remote work can be terminated at any time for any reason. This policy may be rescinded or any portion of this policy may be modified at any time by the Board of Commissioners. The key driving factor in determining if remote work is plausible must be the business needs of the Genesee County Offices and the quality and level of services provided to residents of Genesee County.

Event Rental Policy and Agreement
Policy and Agreement • February 10th, 2020

We are delighted that you’d like to use the Seward House Museum as a backdrop for your upcoming event. Our space can be used for a business function, birthday party, family reunion, retirement party, or holiday celebration. A beautiful setting on any day, we are happy to work with you to custom-design your perfect event. Please contact us for a tour to see your many options.

Bailey Dental Financial Policy and Agreement
Policy and Agreement • September 29th, 2013

Thank you for choosing Bailey Dental for your dental needs. We are dedicated to providing you with exceptional care and convenient financial arrangements. Our financial arrangements are based on an open and honest discussion of recommended treatment options, respective fees and our patients’ financial capabilities.

Acceptable Use Policy and Agreement for Pupils
Policy and Agreement • November 22nd, 2018

• School systems and users are protected from accidental or deliberate misuse that could put the security of the systems and people using them at risk

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