BERKS KIDS GOT TALENT
|
|
- Lisa Armstrong
- 5 years ago
- Views:
Transcription
1 BERKS KIDS GOT TALENT Application and Guidelines The Children s Dyslexia Center of Reading is sponsoring a talent contest featuring the youth of Berks County. All proceeds derived from the contest will benefit Children s Dyslexia Centers, Inc., located in Reading, Pennsylvania, a non-profit 501(c)(3) charitable organization of the Scottish Rite. Contestant Application: Name: Address: Age: Grade: School: Telephone: Talent (vocal/dance/etc.): Solo or Group (if group, list names of each member each member must complete the application and pay the fee, submit together, if possible): By signing, the contestant/parent or Guardian agrees to abide by the rules of the Berks Kids Got Talent contest and to return all required paperwork, including any Waivers and Indemnifications. Contestant Signature: Parent or Guardian Signature: Send completed application and application fee of $10.00 to: Berks Kids Got Talent c/o Landon Heimbach 348 N. Church Street Robesonia, PA All applications must be received by December 15, 2015 to be entered into the contest. For questions, please BKIDSGT@gmail.com.
2 Contest Guidelines: Berks Kids Got Talent (BKGT) will be held at the Scottish Rite Cathedral, located at 301 South Seventh Avenue, West Reading, Pennsylvania An audition for all talent acts will be held on January 9, Auditions will be scored by a panel of judges. The twenty highest scoring acts will advance to the final round of competition to be held on January 16, The final competition will again be scored by a panel of judges. Cash prizes will be awarded to the top three scoring finalists. An audience choice cash prize will also be awarded. Top prize for the contest winner is $ Entrance applications will be accepted from qualified individuals and groups performing within the guidelines of contest talent categories. Applications are available online at or by at BKGT@gmail.com. A nonrefundable entrance fee of $10.00 is due upon submission of the application. Applicants must meet the following criteria in order to qualify for BKGT: 1. Contestant must be between the age of 8 and 18 years old, a Berks County resident, and be a current student enrolled in public, private or home school. Contestant must be attending school within Grade All group acts must submit individual applications and fees. 2. Application fee is nonrefundable. Application fees must be made payable to Children s Dyslexia Center of Reading and submitted with the application. 3. All artistic talents are accepted - music (vocal and instrumental), dance, magic, theatre, comedy, juggling, etc. 4. Contestant is required to provide all music and props for the performance. Performance must be limited to three minutes or less. An accompanist may be provided. All prerecorded music must be in CD form. 5. Voting results from the judges and audience will be final. Audition finalists will be notified via of their contest standings. BKGT winners will be announced at the January 16, 2016 show.
3 RELEASE AND WAIVER OF LIABLITY AND INDEMNITY AGREEMENT This Release and Waiver of Liability and Indemnity Agreement ( Agreement ), entered into this day of 20, by and Between Children s Dyslexia Center of Reading, ( Dyslexia Center ) a Pennsylvania, with a business address of 301 South Seventh Avenue, West Reading, PA 19611, Berks County, Pennsylvania, ; Scottish Rite Cathedral, ( Scottish Rite ) a Pennsylvania Corporation, with a business address of 301 South Seventh Avenue, West Reading, PA 19611, and, an adult individual/parent or Guardian for the minor child, with an address of ( Client ) (collectively referred to as the Parties ). BACKGROUND Client is an adult individual and/or a Parent or Guardian for a minor child who has agreed to participate in a Talent Show ( Talent Show ) on behalf of the Children s Dyslexia Center of Reading located at the Scottish Rite Cathedral at 301 South Seventh Avenue, West Reading PA ( Premises ). Client has been informed of the dangers involved in participating in the Talent Show in an indoor facility such as the one provided by the Scottish Rite. Despite awareness of these dangers, Client wishes to voluntarily, on behalf of him/herself and for any minor child whom he/she is the parent or natural guardian thereof, and in consideration for the potential winnings received from the Talent Show and usage of the premises provided by Scottish Rite, agree to indemnify, hold harmless and covenant not to sue Dyslexia Center and Scottish Rite from any and all claims arising out of the Talent Show provided by Dyslexia Center or from the premises provided by Scottish Rite. AGREEMENT NOW THEREFORE, the Parties intending to be legally bound hereby acknowledge and agree as follows: THIS AGREEMENT IS A CONTRACT BETWEEN DYSLEXIA CENTER, SCOTTISH RITE AND CLIENT. CLIENT HAS READ AND FULLY UNDERSTOOD THIS AGREEMENT. CLIENT ENTERS INTO THIS AGREEMENT OF HIS/HER OWN VOLITION AND UNDERSTANDS THAT THE ACTIVITIES OF A TALENT SHOW COULD INVOLVE PHYSICAL CONTACT AND MAY LEAD TO INJURY. ADDITIONALLY, CLIENT IS AWARE THAT ANY ACTIVITIES IN AN INDOOR FACITLITY CAN LEAD TO INJURY FROM DEFECTS IN THE PREMISES. DESPITE THIS KNOWLEDGE, CLIENT HEREBY AGREES TO INDEMNIFY, HOLD HARMLESS AND COVENANTS NOT TO SUE, DYSLEXIA CENTER AND SCOTTISH RITE OR ANY OF ITS AGENTS, FROM ANY AND ALL LIABILITY RELATED TO INJURIES ARISING FROM NEGLIGENCE, GROSS NEGLIGENCE OR USAGE OF THE PREMISES. BY ENTERING
4 INTO THIS AGREEMENT, CLIENT HEREBY UNDERSTANDS THAT HE/SHE HAS WAIVED ANY AND ALL RIGHT TO BRING ANY CLAIM ARISING IN TORT AGAINST DYSLEXIA CENTER AND SCOTTISH RITE. CLIENT INTENDS THAT THIS AGREEMENT AMOUNT TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILTY TO THE GREATEST EXTENT OF THE LAW AGAINST DYSLEXIA CENTER AND SCOTTISH RITE. 1. Dangers of Participation. Client hereby agrees that participation in this activity is dangerous and that they have inspected the facilities and equipment provided to be used and that if he or she believes either the premises or equipment to be unsafe they will immediately inform an agent of Dyslexia Center or Scottish Rite and will not participate in any activities. 2. Assumption of Risk. Client hereby acknowledges that he/she has been informed of the dangers relating to participation in a talent show and activities which could result in bodily injury, partial and/or total disability, paralysis and death. Client is further aware of the potential social and economic losses which may arise from these injuries. Client explicitly accepts such risks and responsibility for the losses and damages arising from such injuries, including but not limited to, damage to property, bodily injury, disability, paralysis or death. 3. Voluntary Nature of the Relationship. Client has been informed that there are other martial arts instructors and facilities available and Client hereby acknowledges that he/she enters into this Agreement voluntarily and without coercion, inducement, assurance or any additional guarantees provided by Dyslexia Center or Scottish Rite after being fully informed of the Parties credentials and after Client has performed a detailed inspection of the Premises. 4. Waiver of Liability/Covenant Not to Sue. Client hereby waives, releases and discharges any and all liability, and covenants not to sue Dyslexia Center or Scottish Rite, including their owners, managers, promoters, lessees of premises used to conduct the Talent Show event or program, premises and event inspectors, underwriters, consultants and other who give recommendations, directions or instructions to engage in risk evaluation or loss control activities regarding the Premises or events held at such facility and each of them, their directors, officers, agent, employees for any and all liability to the Client or their respective personal representatives, assigns, executors, heirs and next of kin arising from any and all injuries, including but not limited to, damage to property, bodily injury, disability, paralysis or death arising from such events caused in whole or in part by the negligence or tortuous activity of Dyslexia Center or Scottish Rite. Client intends that this waiver of liability and covenant not to sue be interpreted by any court of competent jurisdiction to be as broad as legally possible. 5. General Provisions. (a) Pennsylvania Law. This Agreement shall be construed in accordance with and pursuant to the laws of the Commonwealth of Pennsylvania;
5 only; (b) Descriptive Headings. Titles to paragraphs hereof are for information purposes (c) Binding Effect. This Agreement in binding upon and inures to the benefit of the Parties and their respective heirs, personal representatives, successors and assigns. (d) Pronouns. Whenever a masculine pronoun in used in this Agreement, it shall be taken to include the feminine, and vice-versa, unless otherwise indicated by context; (e) Invalid Provisions. The invalidity or unenforceability of any particular provision of this Agreement shall not affect the other provisions hereof, and this Agreement shall be construed in all respect as if such invalid or unenforceable provisions were omitted. (f) Background. The Background section shall be read and interpreted as being an integral and binding part of this Agreement. (g) Entire Agreement. This Agreement constitutes the entire agreement between the Parties with respect to the subject matter hereof. This Agreement supersedes any and all other agreement either oral or written, between the Parties hereto with respect to the subject matter hereof. No change, waiver or modification of this Agreement, or any provision thereof, shall be valid unless the same be in writing and signed by the Parties. IN WITNESS WHEREOF, the Parties have executed this Agreement on the date first hereinabove set forth. CHILDREN S DYSLEXIA CENTER OF READING By: SCOTTISH RITE CATHEDRAL By: ( Client ) ( Client as Parent or Natural Guardian of the Child )
6 CHILDREN S DYSLEXIA CENTER OF READING RELEASE, AUHTORIZATION AND WAIVER I, the undersigned, acknowledge that I am providing my likeness and image to be photographed, filed and imaged for this event. I also acknowledge that for Consideration herein acknowledged as received, and by signing this release I hereby irrevocably and irredeemably grant Children s Dyslexia Center of Reading ( Photographer ) and its Assigns, my permission to license the Content and to use the Content in any Media for any purpose (except pornographic or defamatory) which may include, among others, advertising, promotion, marketing and packaging for any product or service. I agree that the Content may be combined with other images, text, graphics, film, audio, audio-visual works; and may be cropped, altered or modified. I acknowledge and agree that I have consented to publication of my ethnicity (ies), but understand that other ethnicities may be associated with me by the Photographer and / or Assigns for descriptive purposes. I hereby forever release and discharge Photographer and his Assigns from any and all claims, actions, and demands arising out of or in connection with the use of said Content. I agree that I have no rights to the Content, and all rights to the Content belong to the Photographer and Assigns. I acknowledge and agree that I have no further right to additional consideration or accounting, and that I will make no further claim for any reason to Photographer and / or Assigns. I acknowledge and agree that this release is binding upon my heirs, designees, successors, assigns and any other of my representatives or appointees. I agree that this release is irrevocable, worldwide and perpetual, and will be governed by the laws of the Commonwealth of Pennsylvania. It is agreed that my personal information will not be made publicly available but may only be used directly in relation to the licensing of the Content where necessary (e.g. to defend claims, protect rights or notify trade unions) and may be retained as long as necessary to fulfill this purpose, including by being shared with sub-licensees / assignees of the Photographer and transferred to countries with differing data protection and privacy laws where it may be stored, accessed and used. I represent and warrant that I am at least 18 years of age and have the full legal capacity to execute this release, or that my Parent has the right to execute this Agreement. Definitions: ASSIGNS means a person or any company to whom Photographer has assigned or licensed rights under this release as well as the licensees of any such person or company. CONSIDERATION means money or something else of value I have received in exchange for the rights granted by me in this release. CONTENT means all photographs, film, audio, or other recording, still or moving, taken of me as part of the Shoot. MEDIA means all media including digital, electronic, print, television, film, radio and other media now known or to be invented. CLIENT means me and includes my appearance, likeness and voice. PARENT means the parent and/or legal guardian of the Client. Parent and Client are referred to as I and me in this Agreement.
7 PHOTOGRAPHER means Children s Dyslexia Center of Reading or any other photographer, illustrator, filmmaker or any other person or entity photographing or recording me at or around the time of the Shoot who is there at the direction of the Photographer, or any employee, subcontractor or designee of the Photographer there with Photographer s permission. SHOOT means the photographic, film or recording session described in this form. Photographer Information Name (print) Signature Date signed (DD/MM/YEAR) Shoot Date Shoot Country & Region/State Shoot Description/Ref. Client Information Name (print) Date of Birth (DD/MM/YEAR) Gender: male female Ethnicity: Residence Address City State/Province Country Zip/Postal Code Phone Signature Date signed (DD/MM/YEAR) *If Client is a minor or lacks capacity in the jurisdiction of residence, Parent warrants and represents that Parent is the legal guardian of Client, and has the full legal capacity to consent to the Shoot and to execute this release OF ALL RIGHTS IN CLIENT S CONTENT. If you are signing in this capacity, please enter your details above and your name below. Parent Name: (Sign)
Instructions for Completing Waivers
Instructions for Completing Waivers 1) Print out all four (4) forms attached. 2) All 4 forms must be filled in COMPLETELY. If forms are not completed and signed properly your minor child will not be allowed
More informationWAIVER AND RELEASE, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT PLEASE READ THE FOLLOWING CAREFULLY AS IT AFFECTS YOUR FUTURE LEGAL RIGHTS.
Hosted by: Nauticus WAIVER AND RELEASE, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT PLEASE READ THE FOLLOWING CAREFULLY AS IT AFFECTS YOUR FUTURE LEGAL RIGHTS. WAIVER AND RELEASE In consideration for receiving
More informationHARD ROCK S AMBASSADORS OF ROCK BATTLE OF THE BANDS ENTRY FORM
HARD ROCK S AMBASSADORS OF ROCK BATTLE OF THE BANDS ENTRY FORM NAME OF THE BAND: NAMES OF ALL BAND MEMBERS (minimum of 2 and maximum of 6): 1) 2) 3) (Band Administrator) 4) 5) 6) Each Local Competition
More informationOFFICIAL ENTRY FORM ENTRY FEE: $250 / DEADLINE FRIDAY, SEPTEMBER 7 / 5PM PST. Estimated Competition Weight: Height: Age:
OFFICIAL ENTRY FORM ENTRY FEE: $250 / DEADLINE FRIDAY, SEPTEMBER 7 / 5PM PST PERSONAL INFORMATION Full Legal Name: E-Mail Address: Mailing Address: City: State: Zip: Day Phone: Cell Phone: Estimated Competition
More informationPARENTAL CONFIRMATION AGREEMENT
PARENTAL CONFIRMATION AGREEMENT THIS AGREEMENT AND THE ENCLOSED EVENT RELEASE, WAIVER AND INDEMNITY AGREEMENT (EXHIBIT B) EACH NEED TO BE FULLY COMPLETED AND NOTARIZED FOR MINORS UNDER 18 YEARS OF AGE
More information~LOTUS GUNWORKS OF SOUTH FLORIDA, LLC~ RELEASE, WAIVER, INDEMNIFICATION, HOLD HARMLESS, AND ASSUMPTION OF THE RISK AGREEMENT
~LOTUS GUNWORKS OF SOUTH FLORIDA, LLC~ RELEASE, WAIVER, INDEMNIFICATION, HOLD HARMLESS, AND ASSUMPTION OF THE RISK AGREEMENT WHEREAS, in return for being allowed to enter Lotus Gunworks, Lotus Gun Range
More informationPARTICIPATION AGREEMENT
WHISKEY ROADHOUSE BATTLE OF THE BANDS PARTICIPATION AGREEMENT NAME OF THE BAND: NAMES OF ALL BAND MEMBERS (minimum of 2 and maximum of 6): 1) 2) 3) (Band Administrator) 4) 5) 6) In order to enter the Whiskey
More informationARTWORK LICENSING AGREEMENT
ARTWORK LICENSING AGREEMENT THIS ARTWORK LICENSING AGREEMENT ( Agreement ) is made as of, 20 by and between National Real Estate Development, LLC ( Owner ) and ( Artist ). Owner and Artist are each referred
More informationASSUMPTION OF RISK, RELEASE AND LIABILITY WAIVER
ASSUMPTION OF RISK, RELEASE AND LIABILITY WAIVER This Event may involve serious risk of injury. I understand that by signing this form, I am giving up the right to sue if I am injured while participating
More informationThe AMA and Minors. To summarize- to sign a minor up you will need either-
The AMA and Minors In any AMA event, anywhere in the US, and in any discipline, if the rider is under the age of majority, which in California is 18, that rider cannot enter any AMA race all by him/herself,
More informationGRACIE GARAGE PARTICIPANT ASSUMPTION OF RISK, CONSENT TO PARTICIPATION, WAIVER OF LIABILITY AND RELEASE OF CLAIMS, AND INDEMNIFICATION AGREEMENT
GRACIE GARAGE PARTICIPANT ASSUMPTION OF RISK, CONSENT TO PARTICIPATION, WAIVER OF LIABILITY AND RELEASE OF CLAIMS, AND INDEMNIFICATION AGREEMENT READ BEFORE SIGNING In consideration of you being permitted
More informationRELEASE AND WAIVER OF LIABILITY Sports Authority Football Field Day
ATTENTION: Please print all waivers and bring signed and completed waivers to the event. Individuals without signed waivers will not be able to participate in event. RELEASE AND WAIVER OF LIABILITY Sports
More information2017 Multi-Jurisdictional Law Enforcement Explorer Academy
2017 Multi-Jurisdictional Law Enforcement Explorer Academy All questions must be answered. If something does not apply please indicate N/A. Note: If there are any un-answered questions on this application
More informationGENERAL APPEARANCE RELEASE FORM
GENERAL APPEARANCE RELEASE FORM THIS IS A LEGAL DOCUMENT AFFECTING YOUR RIGHTS AND RESPONSIBILITIES PLEASE READ IT CAREFULLY BEFORE SIGNING Various TV shows & website postings/displays (the Program ) In
More informationAdult Individual and/or Family Membership
Adult Individual and/or Family Membership Sull ivan Farms Recreational Shooting Area / Prentiss County Sportsman's Club Individual Membership If you are an individual, please complete the following forms
More information2018 BALTIMORE RAVENS CHEERLEADER APPLICATION
PRELIMINARY # OFFICE USE ONLY 2 ND ROUND # LAST FIRST 2018 BALTIMORE RAVENS CHEERLEADER APPLICATION IN ORDER TO PROCESS YOUR APPLICATION WE NEED THIS INFORMATION FROM YOU: 1. A $25.00 check or money order
More information2009 Junior Idol Karaoke Contest Preliminary Round Saturday August 1st, a-12p at Ranch and Home in Kennewick
2009 Junior Idol Karaoke Contest Preliminary Round Saturday August 1st, 2009 9a-12p at Ranch and Home in Kennewick Open to contestants ages 5-17 Age groups are 5-11, 12-16 (Limited to the first 10 in each
More informationTerms & Conditions of Entry (the Official Rules )
A video contest (the Contest ) in conjunction with Teck s Copper Saves Lives Campaign will take place beginning on September 20, 2018 and continue through January 15, 2019. Terms & Conditions of Entry
More informationLATIN TALENT SEARCH WAIVER OF LIABILITY, PERSONAL RELEASE AND CONSENT FORM
DO NOT SIGN UNTIL YOU HAVE COMPLETELY READ THIS RELEASE IN ITS ENTIRETY In full and complete consideration of California Entertainment Company, LLC ( Producer ) possibly including me as a participant in
More informationThe Guild, Inc. ARTWORK PUBLISHING AGREEMENT
The Guild, Inc. ARTWORK PUBLISHING AGREEMENT This agreement, dated, between The Guild Inc., a Delaware Corporation, ( THE GUILD, GUILD, we, us, or our ) and the undersigned artist ( artist, you, or your
More informationNATIONAL FFA ORGANIZATION 2016 CHAPTER T-SHIRT DESIGN CONTEST OFFICIAL RULES
NATIONAL FFA ORGANIZATION 2016 CHAPTER T-SHIRT DESIGN CONTEST OFFICIAL RULES NO PURCHASE IS NECESSARY TO ENTER OR WIN A PRIZE. National FFA Organization ("FFA") is offering local chapters of chartered
More informationAGREEMENT FOR FABRICATION. AGREEMENT made this the day of day of 20, by and between ( ARTIST ) and ( FABRICATOR ).
AGREEMENT FOR FABRICATION AGREEMENT made this the day of day of 20, by and between ( ARTIST ) and ( FABRICATOR ). WHEREAS, Artist is a recognized professional artist and has designed a work for ; and WHEREAS,
More informationNational Percussion Ensemble Honors Recorded Music Competition
information packet 2017 National Percussion Ensemble Honors Recorded Music Competition INFORMATION The Foundation for Music Education is a not-for-profit organization committed to raising funds for the
More informationOklahoma City University Travel Waiver and Release Agreement
Oklahoma City University Travel Waiver and Release Agreement Introduction: Oklahoma City University allows employees and students to participate in activities that may involve or require travel outside
More informationYouth Police Academy C/O: Clare Police Department 207 W. Fifth Street Clare, MI (989) Membership Application 2017
Youth Police Academy C/O: Clare Police Department Membership Application 2017 07-10-2017 07-20-2017 Monday - Thursday for 2 weeks 8am - 4pm $15 Non Refundable Application Fee Required (Cash Preferred -
More informationSYNCHRONIZATION LICENSE AGREEMENT
SYNCHRONIZATION LICENSE AGREEMENT Date: Licensor : Licensee : 1. Licensor grants to Licensee the non-exclusive rights set forth on Exhibit "A" attached hereto and incorporated by this reference for the
More informationNow, therefore, the parties listed, intending to be legally bound, hereby agree as follows:
LPM-DRA Digital RETAIL Agreement This Digital Retail Agreement (the Agreement ) is entered into by and between Latin Pulse Music Inc. ( LPM ), a Nevada corporation, and the proprietor or copyright holder
More information2017 BALTIMORE RAVENS CHEERLEADER APPLICATION
PRELIMINARY # OFFICE USE ONLY 2 ND ROUND # LAST FIRST 2017 BALTIMORE RAVENS CHEERLEADER APPLICATION IN ORDER TO PROCESS YOUR APPLICATION WE NEED THIS INFORMATION FROM YOU: 1. A $25.00 check or money order
More informationMINOR HOCKEY CROSS ICE JAMBOREE - NOVICE
MINOR HOCKEY CROSS ICE JAMBOREE - NOVICE Proposed Schedule (22 Teams): GROUP 1: Arrival = 11:15am Registration = 11:30pm S.A. Canucks 1 12:15pm - 12:27pm Oil Kids Warriors Attack 2 2 12:28pm - 12:40pm
More information2015 BALTIMORE RAVENS PLAYMAKERS APPLICATION
CHECK # PRELIMINARY # LAST LAST FIRST OFFICE USE ONLY OFFICE USE ONLY FIRST 2015 BALTIMORE RAVENS PLAYMAKERS APPLICATION IN ORDER TO PROCESS YOUR APPLICATION WE NEED THIS INFORMATION FROM YOU: 1. A $30.00
More informationNO PURCHASE NECESSARY TO ENTER OR WIN. THE PURCHASE OF ANY GOOD OR SERVICE WILL NOT INCREASE YOUR CHANCES OF WINNING.
Official Contest Rules-2015 Easter Coloring Contest NO PURCHASE NECESSARY TO ENTER OR WIN. THE PURCHASE OF ANY GOOD OR SERVICE WILL NOT INCREASE YOUR CHANCES OF WINNING. THE CURRENTLY ACTIVE Holiday Coloring
More informationVolunteer Services Agreement
Volunteer Services Agreement This Volunteer Services Agreement (the Agreement ) is entered into effective as of the day of 20, by and between ( Volunteer ) and Now I Lay Me Down to Sleep Foundation, a
More information2014 Mark of Excellence National Orchestra Honors Registration Packet
2014 National Orchestra Honors Registration Packet The /National Orchestra Honors project seeks to recognize and award outstanding achievement in performance by high school, middle school, and youth orchestras.
More informationIn this by-law and in all other by-laws of The Cleveland Touring Club, LLC, hereafter passed, unless the context otherwise specifies or requires:
Cleveland Touring Club LLC By-Laws 17 April 2015 - Final DRAFT Amendment for Member Approval 03 May 2015 Final APPROVED by Membership and Leadership Council 1 ARTICLE I - NAME In this by-law and in all
More informationVOYA 2016 ETHICS AWARENESS WEEK EMPLOYEE VIDEO CONTEST VIDEO SUBMISSION FORM
VIDEO SUBMISSION FORM This Voya 2016 Ethics Awareness Week Employee Video Contest Video Submission Form ( Form ) and all appropriate releases (as further described below) must be completed and returned
More informationInitials PLEASE READ CAREFULLY EACH PARAGRAPH BEFORE SIGNING. A. General
RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND PUBLICITY RELEASE This release and waiver of liability, express assumption of risk, and publicity release ( Waiver and Release ) is given by the
More information*SAMPLE PRACTICE CONTINUATION AGREEMENT* DISCLAIMER
DISCLAIMER This sample document is an example for purposes of illustration only and is intended to serve only as a general resource, not as a form or recommendation. It has not been approved, sanctioned,
More informationLOCATION USE AGREEMENT BETWEEN THE UNIVERSITY OF WYOMING AND
LOCATION USE AGREEMENT BETWEEN THE UNIVERSITY OF WYOMING AND 1. Parties. This Agreement is made and entered into by and between the University of Wyoming (hereinafter University ) and, (hereinafter Company
More informationHEALTH INFORMATION AND CONSENT FOR EMERGENCY MEDICAL TREATMENT FORM. Program Attending: Date of Program: Name of Student or Minor Child: Birth Date:
University of Northern Iowa Expanding Your Horizons In Science and Mathematics Conference 10/13/2018 Industrial Technology Campus HEALTH INFORMATION AND CONSENT FOR EMERGENCY MEDICAL TREATMENT FORM Program
More informationATV Tour, Waiver and Indemnity Agreement
ATV Tour, Waiver and Indemnity Agreement THIS AGREEMENT made effective as of the day of, 2016. BETWEEN: OUTSY WIDERNESS ADVENTURES INC also known as OUTSY.CA., a Name: Address: Age Driver s License corporation
More informationSACRED. Transformations. Application for Tattoo Transformation Program
Application for Tattoo Transformation Program Personal Information Name: Address: City: State: Zip Code: Phone: Email: Age: Date of Birth: / / Primary Language: Secondary language: Emergency Contact Information:
More informationOfficial Contest Rules NO PURCHASE NECESSARY TO ENTER OR WIN. THE PURCHASE OF ANY GOOD OR SERVICE WILL NOT INCREASE YOUR CHANCES OF WINNING.
Official Contest Rules NO PURCHASE NECESSARY TO ENTER OR WIN. THE PURCHASE OF ANY GOOD OR SERVICE WILL NOT INCREASE YOUR CHANCES OF WINNING. THE CURRENTLY ACTIVE VALENTINE S DAY ENTER-TO-WIN CONTEST (THE
More informationIron Gate Exhibition
Iron Gate Exhibition Informed Consent to Participate at Iron Gate Exhibition ( IGX ); Express Assumption of Risk; & Waiver and Release of Liability Agreement ( Agreement ). I, (please print name) intend
More informationI-SEE-YOU CONTENT SUBMISSION EXCLUSIVE RELEASE AND GRANT OF RIGHTS
I-SEE-YOU CONTENT SUBMISSION EXCLUSIVE RELEASE AND GRANT OF RIGHTS *TO BE SIGNED BY PERSON WHO OWNS SUBMISSION (IF OWNER IS A MINOR, PLEASE SEE PAGE 4) Dated: I See You, LLC 5907 Lemona Ave. Van Nuys,
More informationTHIS AGREEMENT is made with effect as of, 20 (the "Effective Date") BETWEEN AIR BARRIER ASSOCIATION OF AMERICA INC. ( ABAA ) and
THIS AGREEMENT is made with effect as of, 20 (the "Effective Date") BETWEEN AIR BARRIER ASSOCIATION OF AMERICA INC. ( ABAA ) and ( Installer Licensee ) Name: Address: City, State, ZIP Code: WHEREAS, ABAA
More informationPARENT AGREEMENT FOR USE OF THIRD-PARTY TRANSPORTATION SERVICE. Rules and Guidelines
PARENT AGREEMENT FOR USE OF THIRD-PARTY TRANSPORTATION SERVICE Yeshiva Elementary, Inc. has arranged with a third-party vendor to provide bus transportation for students to and from Yeshiva Elementary
More informationPARTICIPANT APPLICATION & RELEASE WEIGHT LOSS SHOW
PARTICIPANT APPLICATION & RELEASE WEIGHT LOSS SHOW 1. Please fill out this application and release ( Application and Release ) legibly. 2. Use dark colored ink. 3. Answer all questions honestly and to
More informationMake Your Pitch Contest
Make Your Pitch Contest Official Rules NO PURCHASE OR PAYMENT IS NECESSARY TO ENTER OR WIN. Void where prohibited. The Make Your Pitch Contest (the "Contest") starts on February 29, 2012 at 7:00:01 am
More informationWebsite Development Agreement
Website Development Agreement This WEB SITE DEVELOPMENT AGREEMENT ("Agreement") is an agreement between Lotta Digital (Lotta Digital is a registered name of Qikmo Technology Inc.) ("Company") and the party
More informationNew York City Police Department 2 nd Annual Campus Sexual Assault Poster Contest For undergraduate and graduate students, With $5000 in prizes.
New York City Police Department 2 nd Annual Campus Sexual Assault Poster Contest For undergraduate and graduate students, With $5000 in prizes. We are inviting all of New York City s undergraduate and
More informationLand Trust Agreement. Certification and Explanation. Schedule of Beneficial Interests
Certification and Explanation This TRUST AGREEMENT dated this day of and known as Trust Number is to certify that BankFinancial, National Association, not personally but solely as Trustee hereunder, is
More information2018 Jr. Celtics Two-day Winter Break Clinic Registration Form
2018 Jr. Celtics Two-day Winter Break Clinic Registration Form For more information call 617-399-8432 or email Sam at: jrceltics@celtics.com When: Thursday, December 27, 2018 Friday, December 28, 2018
More information1 P a g e. Registration. Registered Name of Horse. Pet Name & Age of Horse. Coat Color/Mare or Gelding. Sire and Dam. Name of Horse Owner
Santa Elena Foundation / Carolina Marsh Tacky Association 2017 Lowcountry Fair with Historical Flair Registration November 18, 2017 Cotton Hall Plantation, Northern Beaufort, SC Two events are available
More informationPURCHASES REFUNDS. LOST BADGE or ITEMS WAIVER / ASSUMPTION OF RISK / RELEASE OF LIABILITY. Terms of Service
Terms of Service All participants in KCGameOn LLC's ("KCGameOn") event ("convention") held June 10, 2017, July 29, 2017, October 7, 2017, and December 1-3, 2017 in Kansas City, MO, are required to, and
More informationSwimming Classes. REGISTRATION DEADLINE: June 15, 2018
Swimming Classes Sunshine School will partner with Milpitas Star Aquatics to host swim lessons for students in Grades 1 12. Swimming classes will be held in an indoor facility at 1818 Clear Lake Avenue,
More informationFord Lincoln of Queens NY1 Scholar Athlete of the Week Nomination Form
Ford Lincoln of Queens NY1 Scholar Athlete of the Week Nomination Form Student Name: High School: Student s E-mail: Student s Date of Birth: Parent/Guardian Name: Parent/Guardian Phone Number: Student
More informationDAZZLE AFRICA RELEASE OF LIABILITY, INDEMNITY, AND AGREEMENT
DAZZLE AFRICA RELEASE OF LIABILITY, INDEMNITY, AND AGREEMENT This Release of Liability, Indemnity, and Agreement (the Agreement ) is entered into by and between the parties described in the next two paragraphs:
More information2018 Bob Richey Team Camp
Coaches Information Form School Name: School Phone: School Address: Head Coach: Cell Number: Assistant Coach: Cell Number: Assistant Coach: Cell Number: Assistant Coach: Cell Number: Statement of Coach
More informationShorts by High Schoolers
Shorts by High Schoolers Competition Description As an engaging way to promote the visual arts in the Evansville area, WNIN is hosting a short film competition open to all high school students residing
More informationINDEPENDENT CONTRACTOR AGREEMENT
INDEPENDENT CONTRACTOR AGREEMENT This Independent Contractor ( Agreement ) is entered into the 20 th day of May, 2010 (the ( Effective Date ) by and between the United States Tennis Association Incorporated,
More informationTRADEMARK LICENSE AGREEMENT
the term of this Agreement (the Initial Term ) shall commence on the date hereof and shall be for a period of one (1) year. Thereafter, the Initial Term shall automatically extend unless either party otherwise
More informationPOINT BREEZE CREDIT UNION COMMUNITY CARE CHALLENGE. Official Contest Rules
POINT BREEZE CREDIT UNION COMMUNITY CARE CHALLENGE Official Contest Rules Grand Prize - $10,000 Second Prize - $1,935 Third Prize - $1,935 Free to enter, no purchase necessary and no sales promotional
More informationSUPERIOR COURT OF CALIFORNIA COUNTY OF LOS ANGELES, STATE OF CALIFORNIA
MEDIATOR INFORMATION: Telephone: 1 SUPERIOR COURT OF CALIFORNIA COUNTY OF LOS ANGELES, STATE OF CALIFORNIA Case No: RELEASE AND SETTLEMENT AGREEMENT Date: Time: :0 a.m. Case Assigned to Dept. This Release
More informationSECURITY AGREEMENT AND ASSIGNMENT OF ACCOUNT
THIS ACCOUNT CONTROL AGREEMENT dated as of, 20 (the Agreement ), among, a (together with its successors and assigns, the Debtor ),, a (together with its successors and assigns, the Secured Party ) and
More informationOfficial Sweepstakes Rules
Official Sweepstakes Rules NO PURCHASE NECESSARY TO ENTER OR WIN. THE PURCHASE OF ANY GOOD(S) OR SERVICE(S) WILL NOT INCREASE YOUR CHANCES OF WINNING. THIS SWEEPSTAKES IS SUBJECT TO FEDERAL, STATE, AND
More information2018 STATE BANK AND TRUST COMPANY SMALL BUSINESS GRANT VIDEO CONTEST OFFICIAL RULES (the Official Rules )
2018 STATE BANK AND TRUST COMPANY SMALL BUSINESS GRANT VIDEO CONTEST OFFICIAL RULES (the Official Rules ) NO PURCHASE OR PAYMENT OF ANY KIND IS NECESSARY TO ENTER OR WIN. PURCHASE DOES NOT IMPROVE ODDS
More informationBUSINESS USE AGREEMENT
BUSINESS USE AGREEMENT This shall serve as a legal and binding Agreement by and between The University of Cincinnati, a state institution of higher education organized under Section 3361 of the Ohio Revised
More informationNO PURCHASE NECESSARY TO ENTER OR WIN. THE PURCHASE OF ANY GOOD OR SERVICE WILL NOT INCREASE YOUR CHANCES OF WINNING.
Official Contest Rules -Cinco De Mayo Selfie NO PURCHASE NECESSARY TO ENTER OR WIN. THE PURCHASE OF ANY GOOD OR SERVICE WILL NOT INCREASE YOUR CHANCES OF WINNING. THE CURRENTLY ACTIVE Cinco De Mayo CONTEST
More informationprototyped TEAM Inc. o/a MadeMill
MadeMill is the Makerspace and Advanced Digital Media Lab at Bayview Yards in Ottawa Operated by prototyped TEAM Inc. THIS ARTIST RESIDENCY AGREEMENT (this Residency Agreement ) is made as of the Day of,
More informationPOLE VAULT ELITE WAIVER
In consideration of the services of POLE VAULT ELITE, I hereby agree to release, indemnify, and discharge POLE VAULT ELITE, on behalf of myself, the minor(s) for whom I sign (hereinafter referred to as
More informationThe Great Birthday Bake: A Kids Cookie Competition. by DoubleTree by Hilton Cranberry, benefiting Beverly s Birthdays OFFICAL RULES
EVENT DETAILS The Great Birthday Bake: A Kids Cookie Competition by DoubleTree by Hilton Cranberry, benefiting Beverly s Birthdays OFFICAL RULES What: A Best Cookie baking competition for children under
More informationBest Snowman Competition Official Rules. How to enter the Best Snowman Competition contest:
Best Snowman Competition Official Rules How to enter the Best Snowman Competition contest: 1. These official rules ( Contest Rules ) apply to the Best Snowman Competition photo contest (referred to herein
More informationKaizen Global Inc. s Independent. Business Operator Agreement. Last updated May 10, 2017
Kaizen Global Inc. s Independent Business Operator Agreement Last updated May 10, 2017 Table of Contents 1.0 Services... 3 1.1 Term of Agreement... 3 1.2 Remuneration of Independent Business Operator...
More informationDiana Golden Race Maine Adaptive Sports & Recreation Sunday River, ME January 15, Race Schedule
Diana Golden Race Maine Adaptive Sports & Recreation Sunday River, ME January 15, 2018 Race Schedule Location 8:00 8:45 Race Registration Maine Adaptive 8 Sundance Ln, Newry 9:00-9:45 Course Inspection
More informationARTIST MANAGEMENT CONTRACT
ARTIST MANAGEMENT AGREEMENT THIS AGREEMENT is made and entered into as of the. BY AND BETWEEN: JENNIFER ELIZABETH SCHRODER (herein referred to as the "Artist") [Address] [Address] - and - TRACY WESLOSKY
More informationRegistration Form. Our Lady of Guadalupe High School Retreat. February 23 25, 2018 Camp Zephyr, Sandia, TX Cost: $140.00
Registration Form Our Lady of Guadalupe High School Retreat February 23 25, 2018 Camp Zephyr, Sandia, TX Cost: $140.00 For Office Use Only Paid: YES NO Cash Check ($140.00 covers roundtrip bus transportation
More information2019 Indianapolis Graduation Vocalist Contest Instructions and Rules
2019 Indianapolis Graduation Vocalist Contest Instructions and Rules Instructions on submitting a video: 1. Record a video of yourself singing the National Anthem. 2. Save the file to your computer or
More informationChampion Cheer All-Stars Inc., Falls City, Nebraska Waiver of Liability, Release, Indemnity, and Assumption of Risk Agreement Name of participant: In
Champion Cheer All-Stars Inc., Falls City, Nebraska Waiver of Liability, Release, Indemnity, and Assumption of Risk Agreement Name of participant: In consideration of the services of Champion Cheer All-Stars
More information2. DEFINITIONS "Entry" means a design created by the Entrant for this Contest.
UMITA LOGO OFFICIAL RULES: VOID WHERE, OR TO THE EXTENT, PROHIBITED. NO PURCHASE NECESSARY TO ENTER OR WIN. 1. INTRODUCTION This document describes the official rules ("Rules") of the "UMITA Logo" contest
More informationAMERICA S FUNNIEST HOME VIDEOS PERSONAL RELEASE AND GRANT OF RIGHTS (Version 11/20/09)
Dated: AMERICA S FUNNIEST HOME VIDEOS PERSONAL RELEASE AND GRANT OF RIGHTS (Version 11/20/09) * TO BE SIGNED BY PERSON(S) WHO APPEAR AND/OR WHOSE VOICE CAN BE HEARD IN VIDEO * Cara Communications Corporation
More informationilicensemusic 454 Las Gallinas Ave, suite #142 San Rafael, California (510)
ilicensemusic 454 Las Gallinas Ave, suite #142 San Rafael, California 94903 (510) 684-4175 www.ilicensemusic.com CLIENT NAME: Music Animation Machine CLIENT CONTACT: Stephen Malinowski- tel: - 510 235
More informationQUEEN'S UNIVERSITY TRADEMARK LICENSE AGREEMENT
SCHEDULE A STANDARD TERMS AND CONDITIONS DEFINITIONS 1.1 The Terms herein defined and used in this Agreement shall, unless the context clearly indicates to the contrary, have the meaning set forth in this
More informationCENTER REPORTING INTRANET EXPRESS LICENSE. Non-Exclusive Software Site License Agreement
CENTER REPORTING INTRANET EXPRESS LICENSE Non-Exclusive Software Site License Agreement Users are required to obtain this license in order to use the Center Reporting Intranet software. Please fill out
More informationHOMER FUND: Homer bobble head DESIGN CONTEST GUIDELINES
HOMER FUND: Homer bobble head DESIGN CONTEST GUIDELINES Overview The Homer Fund Bobble Head Collection will debut a special edition bobble head in 2014 as part of The Homer Fund s 15 th anniversary celebration!
More informationContestant Application
Contestant Application 1. Your child must be at least 8 years old and not older than 13 years old as of April 1, 2018. 2. Your child must be a citizen or legal permanent resident of the United States.
More informationINDEPENDENT CONTRACTOR TERMS OF AGREEMENT Return to the Division of Human Resources when complete. Name: Individual: Business: (mark one)
INDEPENDENT CONTRACTOR TERMS OF AGREEMENT Return to the Division of Human Resources when complete. Part One: University Information ( University or KSU) Contracting University Department/Office: Contracting
More informationCAREERSAFE YOUTH SAFETY ESSAY SCHOLARSHIP OFFICIAL CONTEST RULES
CAREERSAFE YOUTH SAFETY ESSAY SCHOLARSHIP OFFICIAL CONTEST RULES THE CONTEST IS SUBJECT TO ALL RULES SET FORTH BELOW AND APPLICABLE FEDERAL, STATE, AND LOCAL LAWS. VOID WHERE PROHIBITED. Eligibility: Except
More informationPUBLISHING AGREEMENT. In consideration of the mutual covenants herein contained, the parties agree as follows: SAMPLE
PUBLISHING AGREEMENT This agreement (the Agreement ) is made this day of, 201 between, with an address of (the Author ) and Coventry House Publishing, LLC, an Ohio limited liability company whose principal
More informationSecurity Agreement Assignment of Hedging Account (the Agreement ) Version
Security Agreement Assignment of Hedging Account (the Agreement ) Version 2007 1 Please read carefully, sign and return to [ ] ( Commodity Intermediary ) WHEREAS, the undersigned debtor ( Debtor ) carries
More informationGET SUMMER TEEN CODE OF CONDUCT
GET SUMMER TEEN CODE OF CONDUCT The YMCA of Metropolitan Los Angeles is committed to providing a safe and welcoming environment for all members, participants and guests. To promote safety and comfort for
More informationChamber Bed Race Rules
Chamber Bed Race Rules We know you hate it but we have to have them! Bed Design Beds must measure at least 3 feet wide by 6 feet long, but no more than 6 feet wide by 8 feet long handles included. (This
More informationSPFA CERTIFICATION AGREEMENT
SPFA CERTIFICATION AGREEMENT THIS AGREEMENT is made as of (the "Effective Date") by and between the SPRAY POLYURETHANE FOAM ALLIANCE ( SPFA ), a 501(c)(6) nonprofit corporation organized and operating
More informationWELCOME TO THE Y! TORRANCE SOUTH BAY YMCA ADULT #1 EMERGENCY CONTACT. How did you hear about the. Were you referred by a current member?
WELCOME TO THE Y! TORRANCE SOUTH BAY YMCA ADULT #1 Address Apt City State Zip Code Email ADULT #2 Phone Number Email DEPENDENTS (17 years old and younger) Phone Number EMERGENCY CONTACT Name Relation to
More informationINTERNET ADVERTISING AGREEMENT. THIS AGREEMENT made as of this day of, 2004.
INTERNET ADVERTISING AGREEMENT THIS AGREEMENT made as of this day of, 2004. BETWEEN: THOMSON ASSOCIATES INC., a corporation incorporated under the laws of the Province of Ontario; (hereinafter referred
More informationAPA Releases. Advertising Photographers of America
APA Releases Advertising Photographers of America Testing/Self Promotion Model Release The test photographic or other Images created by ( Photographer ) of me are only for testing, Photographer's self-promotion,
More informationCONSIGNMENT AGREEMENT The Golden Closet 7243 Coldwater Canyon Avenue North Hollywood, CA 91605
CONSIGNMENT AGREEMENT The Golden Closet 7243 Coldwater Canyon Avenue North Hollywood, CA 91605 Date of Agreement: Name of Consignor: This Consignment Agreement sets forth the terms of the agreement between
More informationLOCATION AGREEMENT RECITALS:
LOCATION AGREEMENT THIS LOCATION AGREEMENT (the Agreement ) is made this day of, 20 by and between Fremont Street Experience Limited Liability Company, a ( Producer ) (the foregoing parties are collectively
More informationNORTHEAST OHIO NETWORK FOR EDUCATIONAL TECHNOLOGY SERVICE PROVIDER CONTRACT INTERNET SERVICE Contract Number:
NORTHEAST OHIO NETWORK FOR EDUCATIONAL TECHNOLOGY SERVICE PROVIDER CONTRACT INTERNET SERVICE Contract Number: 044552-1722 This agreement for the provision of Internet access service ("Agreement") is entered
More informationLIGHTS, CAMERA, SAVE! VIDEO CONTEST OFFICIAL RULES
2018-2019 LIGHTS, CAMERA, SAVE! VIDEO CONTEST OFFICIAL RULES NO PURCHASE OR PAYMENT OF ANY KIND IS NECESSARY TO ENTER OR WIN. PURCHASE DOES NOT IMPROVE ODDS OF WINNING. VOID WHERE PROHIBITED. ELIGIBILITY.
More informationSarasota Police Department s 2017 Annual Report Cover Contest
Sarasota Police Department s 2017 Annual Report Cover Contest The concept and what we are looking for: We want students to convey what the Sarasota Police Department and the City of Sarasota means to them
More information