Release of liability & media release form release of liability and indemnification : i, as either the participant and/or the parent(s) and/or legal guardian(s) of said participant, agree that in the event that the participant suffers an illness,...
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Sheriff david a. clarke jr. milwaukee sheriff s office law enforcement safety act certification for retirees required to participate in the qualification course release, waiver of liability and express assumption of risk agreement in consideration...
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Attorney for appellant stacy r. uliana indianapolis, indiana attorneys for appellee gregory f. zoeller attorney general of indiana gary damon secrest jodi kathryn stein deputy attorney generals indianapolis, indiana filed in the feb 19 2009, 9:24...
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Medical statement undersea & hyperbaric medical society participant record (confidential information) this is a statement in which you are informed of some potential risks involved in scuba diving and of the conduct required of you during the...
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Consent and release of liability form regarding training ministry of community safety and correctional services private security and investigative services branch (this space reserved for office use only) please print or type in black ink student...
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Release of liability statement the undersigned agrees that agent/representative/advisor, , has provided information concerning financial risks of future long term care needs and the coverage that long term care insurance could provide including:...
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Village of cambridge skatepark acknowledgment, waiver & release of liability please print legibly participant?s name: date of birth: / / parent/guardian name (if skater is under 18 yrs. old): street address: city/state: zip code: home phone:...
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Lighthouse retreat saturday september 15, 2012 oceanwood we will tour the lighthouses of southern maine, including portland head light, spring point light, the bug light and cape neddick light. all guests will be picked up at oceanwood to begin...
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! " # $ % & $ '( ) '* * " ! " " + ! , childs full name address name most often used date of birth home phone number male female email fathers name occupation home address place of employment home phone number work phone cell phone work schedule...
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Ultimate freightways, llc rules tariff page no.1 effective 12/26/12 1. applicability ay s this tariff is applicable to all freight accepted for transportation whether in interstate or intrastate commerce. specific provisions may be identified as...
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Vanderbilt programs for talented youth residential proctor application for employment page 1 of 4 job description & qualifications: residential proctors serve as counselors during vanderbilt summer academy (vsa) and/or weekend academy at...
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Dr. beverly o. ford announces new edition of making case management work: empowering people for change this second edition of making case management work responds to the questions and issues i heard from staff like you across the country. it...
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Waiver form for visitors(acknowledgement of risk)as a condition of my accepting to ride at the rep i hereby acknowledge that i ride at my own risk and that i am aware thatactivities involving horses can be hazardous and that the servants, agents,...
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Volunteer liability waiver & release form section i. general information organization/business name & address phone number facility and/or services requested (please be specific and enclose attachments if necessary) date(s) and time(s) facilities...
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Waiver and release of liability formthe purpose of the nutrimedical wellness and weight loss institute is to provide a lifestyle interventionof low-glycemic-index eating, exercise, nutritional supplementation, health coaching, menu planning, anddaily
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