WAYA RENTALS. New Buffalo, Michigan (312) Release, Waiver and Indemnity Agreement required by Insurance Provider
|
|
- Antonia Singleton
- 7 years ago
- Views:
Transcription
1
2 WAYA RENTALS New Buffalo, Michigan (312) Release, Waiver and Indemnity Agreement required by Insurance Provider This is a Legally Binding Contract I. CONSIDERATION For and in consideration of being permitted to rent, use, operate and/or ride watercraft and equipment provided by WAYA RENTALS, the undersigned does hereby warrant and agree that there is good and valid consideration for the promises and covenants made herein, and that the terms of this Release, Waiver and Indemnity Agreement constitute a legally binding contract. INITIALS: II. REPRESENTATIONS AND WARRANTIES The undersigned does hereby represent, warrant and agree: (1) that I am aware that there are risks inherent in the use, operation or riding of the watercraft and equipment being provided by WAYA RENTALS, and that I am voluntarily participating in all activities related to the watercraft and equipment with full knowledge thereof, and solely and exclusively assumes all risk of injury, illness, damage, loss, paralysis or death that may result; (2) that I am in good health and have no physical/mental limitations that would affect my understanding of this agreement or the safe operation or use of the watercraft or equipment; (3) that WAYA RENTALS has explained their rules and regulations relating to the watercraft and equipment, that I understand those rules and regulations, and I agree to follow and abide by them at tall time; (4) that I understand and agree that it is impermissible for anyone other than signators to this Release, Waiver and Indemnity Agreement to operate, use or ride the watercraft or equipment, and I will not let anyone use, occupy or ride the watercraft or equipment who has not signed same; (5) that I am signing this agreement in both my individual and representative capacities in the event that I permit a minor for who I am legally responsible to use, operate or ride the watercraft and equipment, and (6) that I have had an adequate opportunity to read and understand this agreement, that I fully understand its terms, that I am under no duress or other legal disability, and that I sign my name hereto with intent to be bound. Additionally, I represent, warrant and agree that no minors shall be permitted to use, operate or ride the watercraft or equipment unless and until a parent, guardian or other legal representative has signed this agreement on their behalf. All parents, guardians or other legal representatives shall be presumed to have executed this Release, Waiver and Indemnity Agreement in their individual capacities and representative capacities for any minor that they permit to use, operate or ride the watercraft and equipment. INITIALS: III. RELEASE AND WAIVER The undersigned, individually and on behalf of any minor that I am legally responsible for who I permit to use, operate or ride the watercraft or equipment, do hereby release WAYA RENTALS, and each and every one of its owners, employees, agents, representatives, servants, assigns, successors, and insurers (collectively Releasees ), from any and all claims, demands, causes of actions, and other forms of action, however characterized, relating in any way to the use, operation or riding of the watercraft or equipment, and waive any and all rights to proceed in any way against Releasees for personal injury, bodily damage, property damage, theft or other loss. The undersigned understands and agrees that Releasees shall not be responsible to the undersigned, or to any minor for which the undersigned is legally responsible, for any injuries, damages, loss or theft, even though same may be caused in whole or in part by the negligence or fault of WAYA RENTALS. This release and waiver does not apply to any gross negligence or intentional torts by WAYA RENTALS. INITIALS: Page 1 of 2
3 IV. INDEMNITY The undersigned does hereby agree to defend, hold harmless and indemnify Releasees from and against: (1) any and all claims arising out of or relating in any way the undersigned s use, operation or riding of the watercraft or equipment, no matter who may make said claim; (2) any and all claims arising out of or relating in any way form the undersigned s breach of any of the provisions of this Release, Waiver and Indemnity Agreement; (3) any and all claims advanced or maintained by any third party relating in way to the undersigned s use operation or riding of the watercraft and equipment, and (4) any and all claims by or on behalf of any minor who uses, operates or rides the watercraft and equipment with the undersigned s knowledge or consent. INITIALS: V. ACKNOWLEDGEMENT The undersigned does hereby acknowledge: (1) that this Release, Waiver and Indemnity Agreement constitutes a legally binding contract; (2) that if one or more of the provisions of this agreement are ruled invalid or are struck down in any way, the remaining provisions shall remain in full force and effect; (3) that I have read the provisions of this agreement and fully understand them; and (4) and that my signature below constitutes my full acknowledgement, consent and agreement to the terms of this Release, Waiver and Indemnity Agreement. INITIALS: ***READ ENTIRE AGREEMENT BEFORE SIGNING*** SIGNATURE: DATE: PRINT NAME: Page 2 of 2
4 WAYA RENTALS New Buffalo, Michigan (312) Checkout Procedure I confirm that I have reviewed and/or had explained to me to my satisfaction the following items: 1. A description of the activity(ies) to be performed with the watercraft I am renting; 2. Review of safety and use restrictions while underway; 3. Location and use of safety and lifesaving equipment; 4. Warning and procedures for unexpected events, such as equipment malfunction; 5. Proper use of signals; 6. Regulations pertaining to idle speed zones and punishment for careless and/or reckless operation. (Signature) (Print Name) (Date)
5 PWC Orientation Checklist Protective Clothing/Equipment for Operators and Passengers PWC Controls PFD Wet Suit Bottom Wear PFD and Other Protective Clothing/Equipment You must wear an appropriate personal flotation device (PFD) at all times. Wear a wet-suit (or wet suit bottom) while operating the PWC. Normal swimwear does not adequately protect against forceful water entry into the lower body opening(s) of both male and females. Severe internal injuries can occur if water is forced into body cavities as a result of falling into water or being near jet thrust nozzle. Additional protective equipment (such as footwear, eyewear) may be needed. Wrist OR PFD Keep Lanyard Attached Securely attach engine shut-off cord (lanyard) to your wrist or PFD (as directed) and wear it at all times. Then if you fall off the PWC, the engine will stop. Know How to Start and Stop the Engine To start the engine, be sure that the lanyard is attached and push the start button. To stop the engine, push the stop button. Stopping the engine will not stop the forward motion of the PWC and will result in loss of steering. Know Operational Controls The throttle controls your speed. Apply the throttle lever on the handle to accelerate and release it to slow down. The handlebars move the jet thrust nozzle directing thrust in different directions to steer the PWC. Without thrust you cannot steer the PWC. Avoid Collisions Most PWC Injuries and Deaths Result from Collisions Do Not Release Throttle when trying to Steer You need throttle to steer. Take Early Action to Avoid Collisions Remember, PWC s and other boats do not have brakes. Scan Constantly Scan constantly for people, objects and other boats (including PWCs). Be alert for conditions that limit your visibility or block your vision of others. Operate Defensively Operate at safe speeds. Keep a safe distance away from people, objects and other boats (including PWCs). Do not follow directly behind PWCs or other boats. Do not go near others to spray or splash them with water. Avoid sharp turns and other maneuvers that make it difficult for others to avoid colliding with you or that make it difficult for others to understand where you are going. (1)
6 Other Hazards Avoid Aggressive Maneuvers This is a high-performance boat it is not a toy. Ride within your limits and avoid aggressive maneuvers to reduce the risk of loss of control, ejection, and collision. Sharp turns or jumping wakes or waves can increase the risk of back/spinal injury (paralysis), facial injuries, and broken legs, ankles or other bones. Do not jump wakes or waves. Do Not Apply Throttle when Anyone is at the Rear of the PWC Items such as long hair, loose clothing, or PFD straps can become entangled in moving parts resulting in severe injury or drowning. Do Not Apply Throttle when Anyone is at the Rear of the PWC Do not apply the throttle when anyone is standing or swimming toward the rear of th PWC. Water and/or debris exiting jet thrust nozzle can cause serious injury. Know How to Right the PWC in Open Water If you capsize in open water, swim to the rear of the PWC and turn it upright be sure to turn it in the proper direction. Then board it from the rear. Other Rules and Safety Information that May Apply to Your Situation Follow Rental Agency Rules and Boating Laws Review all rental agency rules and applicable boating laws. Do not overload PWC. Do not tow unless the PWC is designed and equipped for towing. Know and follow all State requirements related to towing. Know the Waters Know the area in which you will be operating and observe all navigational markers and signs. Follow the Additional PWC Warnings and Instructions that May Apply Depending on the circumstances, the Owner s Manual and product labels may have relevant information not covered in this basic orientation. Final Check Do you understand that you should scan constantly, operate defensively and avoid aggressive maneuvers? Do you understand that PWCs do not have brakes? Do you understand that you should not release the throttle when you are trying to steer away from people, objects, other boats (including PWCs)? Do you have any question about the PWC or its operation? I have been instructed on and understand the rules and information provided in this orientation. Signature of PWC Signature of PWC Rental Agency Employee (2)
7 WAYA RENTALS NEW BUFFALO, MICHIGAN (312) Watercraft Damage Inspection Form I certify that at the time of rental all significant body damage to PWC # is noted above. FOR RENTAL AGENCY USE ONLY WAYA Rental Staff s No additional Damage (or indicate above) Personal Floatation Devices and additional equipment: RETURNED
RYE AIRFIELD 6 AIRFIELD DRIVE RYE, NEW HAMPSHIRE 03870 WAIVER, RELEASE OF LIABILITY AND INDEMNITY AND HOLD HARMLESS AGREEMENT PARTICIPANT S NAME
RYE AIRFIELD 6 AIRFIELD DRIVE RYE, NEW HAMPSHIRE 03870 WAIVER, RELEASE OF LIABILITY AND INDEMNITY AND HOLD HARMLESS AGREEMENT PARTICIPANT S NAME UNDER 18 YEARS (SIGNED AND INITIALED BY PARTICIPANT AND
More informationCHICAGO RUNNING TOURS & MORE, LLC WAIVER AND RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT PLEASE REVIEW THOROUGHLY BEFORE SIGNING
CHICAGO RUNNING TOURS & MORE, LLC WAIVER AND RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT PLEASE REVIEW THOROUGHLY BEFORE SIGNING The undersigned, in consideration of being permitted to participate
More informationMotorcycle RiderCourse WAIVERS
Motorcycle RiderCourse WAIVERS General Instructions All pages must be completed and signed. If you have any questions, call (231) 591-5819. Mail completed forms to: Motorcycle Rider Courses, Ferris State
More informationWESTERN NEW YORK OFFSHORE POWERBOAT ASSOC., INC. 2015 BUFFALO POKER RUN - AUGUST 7-8, 2015
WESTERN NEW YORK OFFSHORE POWERBOAT ASSOC., INC. 2015 BUFFALO POKER RUN - AUGUST 7-8, 2015 ASSUMPTION AND ACKNOWLEDGMENT OF RISK AND RELEASE OF LIABILITY WAIVER 1. ALL OF THE UNDERSIGNED, DO HEREBY AFFIRMATIVELY
More informationAPPENDIX B. Adult Check here if the intern is an adult. Minor Check here if the intern is a minor.
APPENDIX B Adult Check here if the intern is an adult. Minor Check here if the intern is a minor. IMPORTANT: ALL ADULT INTERNS AGREE: [Insert Name] ( Intern ), by my own request, desire to participate
More informationTHE GYM, LLC MEMBERSHIP AGREEMENT
Member s Name: THE GYM, LLC MEMBERSHIP AGREEMENT For good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the undersigned ( Member ) and THE GYM, LLC, a Colorado
More informationTEXAS A&M UNIVERSITY-COMMERCE WAIVER PACKET
TEXAS A&M UNIVERSITY-COMMERCE WAIVER PACKET 1. TAMU-COMMERCE GENERAL WAIVER All camp participants must complete the TAMU-C General Waiver. 2. CAMPUS RECREATION (MRC & ABE) WAIVER If your camp is utilizing
More informationBOATER S COPY INSTRUCTIONS FOR PROCTOR: AFTER BOATER COMPLETES TEST, SCORE TEST BY REMOVING
INSTRUTIONS FOR PROTOR: FTER OTER OMPLETES TEST, SORE TEST Y REMOVING RIGHT HN STU FROM PRTS 2 & 3, IF T LEST 19 QUESTIONS RE ORRET, GIVE PRT 1 (PINK OPY) TO OTER S TEMPORRY ERTIFITE (REMOVE OTER SORE
More informationRelease of Liability. Printed Name of Participant:
Release of Liability IN CONSIDERATION of being given the opportunity to participate in any USRowing activity, including scheduled, supervised club activities, and registered regattas, during the policy
More informationCALIFORNIA Strict Indemnity Language. CALIFORNIA Intermediate Indemnity Language
CALIFORNIA Strict Indemnity Language Contractor (Indemnitor) shall indemnify, defend, and hold harmless Authority, its officers, officials, employees, and volunteers from and against any and all liability,
More informationDATE OF BIRTH: STREET ADDRESS: CITY/STATE/ZIP:
Get Noticed Beach Volleyball Waiver WAIVER AND RELEASE, EXPRESS ASSUMPTION OF RISK, INDEMNITY AND HOLD HARMLESS AGREEMENT, AND GRANT OF RIGHTS NAME OF PLAYER: PLAYER AGE DATE OF BIRTH: PLAYER GRADE as
More informationTERMS AND CONDITIONS, RIDERS RELEASE OF LIABILITY & ASSUMPTION OF RISK INDEMNITY AND HOLD HARMLESS
Deco Bike, LLC. 3301 NE 1 st Avenue, LPH-6 Miami, Florida TERMS AND CONDITIONS, RIDERS RELEASE OF LIABILITY & ASSUMPTION OF RISK INDEMNITY AND HOLD HARMLESS THIS IS A LEGAL AND BINDING AGREEMENT. RIDERS
More informationARCADIA YOUTH RODEO ASSOCIATION, INC. 124 Heard Street, Arcadia, Florida 34266 863-494-2014 2015-2016 SEASON MEMBERSHIP APPLICATION
2015-2016 SEASON MEMBERSHIP APPLICATION MEMBER INFORMATION: BACK TAG # ISSUED: MEMBER NAME: ADDRESS: CITY: STATE: ZIP: HOME PHONE: CEL #: E-MAIL ADDRESS: (Please send newsletter via: Mail E-Mail ) DATE
More informationIndemnity to ERC, and to Minor Release
Universal Release of Liability This is a release of claims, a waiver of liability, an assumption of risk, and an indemnity agreement. By signing this document, you will irrevocably waive and release certain
More information28. Time is of the essence in this Lease and in each and all of its provisions.
COMMERCIAL VEHICLE/EQUIPMENT LEASE AGREEMENT Please print and fax to: 281-842-9345 Stutes Enterprise Systems, Inc. ("Lessor"), located at 1426 Sens Rd #5, LaPorte, Texas 77571, leases to, ("Lessee"), located
More informationRELEASE OF LIABILITY, INDEMNITY, AND BACKGROUND CHECK AUTHORIZATION AGREEMENT
RELEASE OF LIABILITY, INDEMNITY, AND BACKGROUND CHECK AUTHORIZATION AGREEMENT In consideration, the receipt and sufficiency of which is hereby acknowledged, for being allowed entry into and participation
More information2016 LakeRacer LLC Desert Storm Event Registration Forms. POKER RUN EVENT TERMS AND CONDITIONS
POKER RUN EVENT TERMS AND CONDITIONS The registration fees: Each entry includes Two poker hands, two t-shirts, two adult entries for the registration party, awards banquet, prize drawings, and an aerial
More informationADVENTURE ATV & REC RENTALS S CORP RENT ADVENTURES LLC
CUSTOMER INFORMATION ADVENTURE ATV & REC RENTALS S CORP RENT ADVENTURES LLC RIDE DATE VEHICLE DRIVEN NAME DATE OF BIRTH ADDRESS DRIVERS LICENSE # CITY STATE ZIP PHONE EMAIL EMERGENCY CONTACT(name/phone)
More informationChild and Youth Group. Volunteer Waiver Form
Child and Youth Group Volunteer Waiver Form VOLUNTEER WAIVER WARNING OF RISK, WAIVER, RELEASE OF ALL CLAIMS AGREEMENT Please read this form carefully and be aware that, in participating, you will be waiving
More informationIMPORTANT: THIS IS A LEGAL DOCUMENT, PLEASE READ AND UNDERSTAND THIS DOCUMENT BEFORE SIGNING
IMPORTANT: THIS IS A LEGAL DOCUMENT, PLEASE READ AND UNDERSTAND THIS DOCUMENT BEFORE SIGNING. ASSUMPTION OF RISK, WAIVER OF LIABILITY AND INDEMNIFICATION AGREEMENT This agreement (the Agreement ) must
More informationINDEMNITY AND HOLD HARMLESS AGREEMENT
MIAMI-DADE COUNTY, FLORIDA MEDICAL EXAMINER DEPARTMENT NUMBER ONE ON BOB HOPE ROAD MIAMI, FLORIDA 33136-1133 (305) 545-2400 INDEMNITY AND HOLD HARMLESS AGREEMENT A. (Insert the name) (the Agency) agree(s)
More informationINDUSTRIAL CARPET CLEANING SERVICES CONTRACT. THIS AGREEMENT executed on this the day of, 20 by and between. (hereinafter "Employer"), and
INDUSTRIAL CARPET CLEANING SERVICES CONTRACT THIS AGREEMENT executed on this the day of, 20 by and between (hereinafter "Employer"), and (hereinafter "Contractor") NOW, THEREFORE, FOR AND IN CONSIDERATION
More informationCalifornia Polytechnic State University, Pomona Vietnamese Student Association. Family. Honor. Tradition.
California Polytechnic State University, Pomona Vietnamese Student Association Family. Honor. Tradition. ACCIDENT WAIVER AND RELEASE OF LIABILITY FORM Name of Activity or Event: CAL POLY POMONA VSA WINTER
More informationPARTICIPANT AGREEMENT RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT
PARTICIPANT AGREEMENT RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT I, the undersigned, on behalf of my minor child: ( Participant ), hereby acknowledge that Participant has
More informationRegistration Form - Summer Masters Membership
Registration Form - Summer Masters Membership Please provide all requested information and SIGN the Waiver and Medical Information forms located on the website Last Name: First Name: Address: City: Postal
More informationTERMS AND CONDITIONS
TERMS AND CONDITIONS THIS AGREEMENT IS FOR THE RENTAL OF ALL ITEMS, EQUIPMENT AND/OR VEHICLES SHOWN ON THE OTHER SIDE THIS PAGE, INCLUDING ALL PARTS OF AND ACCESSORIES TO SUCH ( EQUIPMENT ). 1. RENTAL
More informationECKERD COLLEGE RELEASE AND WAIVER: CAMP PROGRAMS PARTICIPANTS
ECKERD COLLEGE RELEASE AND WAIVER: CAMP PROGRAMS PARTICIPANTS Summer Watersports Camp All-Sports Camp Baseball Camp Basketball Camp Golf Camp Sailing Camp Soccer Camp Softball Camp Tennis Camp Volleyball
More informationEarn money from you racing, from your pictures, Youtube videos and more! Only by posting on DRR Riders Group on Facebook.
Earn money from you racing, from your pictures, Youtube videos and more! Only by posting on DRR Riders Group on Facebook. Eligibility: All payouts are based on model year Current model year vs non current
More informationAGREEMENT BETWEEN THE CITY OF CRESTWOOD, MO AND BIEG PLUMBING COMPANY FOR ON-CALL PLUMBING SERVICE FOR THE PERIOD
AGREEMENT BETWEEN THE CITY OF CRESTWOOD, MO AND BIEG PLUMBING COMPANY FOR ON-CALL PLUMBING SERVICE FOR THE PERIOD JANUARY 1, 2014 TO DECEMBER 31, 2015 AGREEMENT THIS AGREEMENT, is made and entered into
More informationTerms and Conditions for Purchase Orders for Recycling Materials
Terms and Conditions for Purchase Orders for Recycling Materials This Agreement is made by and between AEROJET-GENERAL CORPORATION, an Ohio corporation with a place of business at Rancho Cordova, California
More informationWhispering Manes Therapeutic Riding Center 6255 SW 125th Avenue Miami, FL 33183 305.909.4343
Whispering Manes Therapeutic Riding Center 6255 SW 125th Avenue Miami, FL 33183 305.909.4343 LQIR#ZKLVSHULQJPDQHV RUJ Volunteer/ Employee Information Form And Health History Name: Date: Date of Birth:
More informationRELEASE, WAIVER OF LIABILITY, HOLD-HARMLESS AGREEMENT AND COVENANT NOT TO SUE
RELEASE, WAIVER OF LIABILITY, HOLD-HARMLESS AGREEMENT AND COVENANT NOT TO SUE This Release, Waiver of Liability, Hold-Harmless Agreement and Covenant Not to Sue (hereinafter Agreement ) was read, understood
More informationWHEREAS, Participants desire to participate in ALL the recreational activities available at the Trampoline Park; and
THIS PARTICIPATION AGREEMENT is made and effective as of the last date executed (hereinafter the "Effective Date") by and between Get Air Savannah (hereinafter "Get Air") and the adult or guardian identified
More informationPRODUCT SALES AGREEMENT
PRODUCT SALES AGREEMENT This Product Sales Agreement (this Agreement ) is made as of the day of, 201, by and between Georgia Tech Applied Research Corporation, a Georgia non-profit corporation ( Seller
More informationVancouver Pescaderos Dive Club Application for Membership
Vancouver Pescaderos Dive Club Application for Membership Note: If applying as a family, each person is to fill an application. First application is "primary", subsequent applications in the same family
More informationW E S T P O I N T H A R B O R
W E S T P O I N T H A R B O R DRY STORAGE LICENSE AGREEMENT I. REGISTERED OWNER Name Home address City/State/Zip Home telephone Cell Email Driver s License# Emergency contact II. MORTGAGEE OR LEGAL OWNER
More informationKansas Speedway 400 Speedway Blvd Kansas City KS 66111 Ticket Office 913.328.3300 www.kansasspeedwaycorp.com COMING 70E
Kansas Speedway 400 Speedway Blvd Kansas City KS 66111 Ticket Office 913.328.3300 www.kansasspeedwaycorp.com COMING 70E TAKE 435N EXIT 411B TO STATE AVE WEST EXIT 13B COMING 70W TAKE 435N EXIT 411B TO
More informationKing s Derby Registration Form
Thank you for choosing to enter OBIC s where over $4000 in Cash and prizes will be given away!! It is our heart to be able to offer our services to children and special needs individuals at no cost. Currently
More informationIndianapolis Motor Speedway 4790 West 16 th Street Indianapolis IN 46222 Ticket Office 317.484.6700 www.brickyard400.com
Indianapolis Motor Speedway 4790 West 16 th Street Indianapolis IN 46222 Ticket Office 317.484.6700 www.brickyard400.com From the Airport: Take I-465 north to exit 16A. Turn right at the top of the exit
More informationIndependent Contractor Agreement. Name of Contractor: Address: Social Security or Tax I.D. Number:
HOFSTRA UNIVERSITY Name of Contractor: Address: Social Security or Tax I.D. Number: Independent Contractor Agreement THIS INDEPENDENT CONTRACTOR AGREEMENT (together with any attachments referred to below,
More informationINFORMATION FORM & PERMISSION SLIP URBAN RECREATION (ALTERNATIVE ED. WEEK)
INFORMATION FORM & PERMISSION SLIP URBAN RECREATION (ALTERNATIVE ED. WEEK) Westgate Mennonite Collegiate 86 West Gate Winnipeg, Manitoba Canada R3C 2E1 Tel: (204) 775-7111 Fax: (204) 786-1651 Dear Parents
More informationSUPERIOR COURT OF CALIFORNIA COUNTY OF LOS ANGELES, STATE OF CALIFORNIA
SETTLEMENT OFFICER INFORMATION: _ Telephone: 1 1 1 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
More informationDNS Hosting Product Agreement
DNS Hosting Product Agreement Philippine Network Foundation Incorporated (PHNET) 12 May 2014 1 Introduction This Service Agreement ( Agreement ) sets forth the terms and conditions of your use of the DNS
More informationSETTLEMENT AGREEMENT AND RELEASE
SETTLEMENT AGREEMENT AND RELEASE This Settlement Agreement and Release (the "Settlement Agreement") is made and entered into this day of, 2015, by and between: "Claimant" "Defendant" "Insurer" Recitals
More informationImportant Legal Document
Important Legal Document READ CAREFULLY TO BE SIGNED BY ALL PILOTS, PASSENGERS AND COMPANIONS BEFORE USING MERRITT FIELD OWNED BY MERRITT CAPITAL CORPORATION, A PENNSYLVANIA CORPORATION ACKNOWLEDGEMENT
More informationMISSOURI HIGHWAYS AND TRANSPORTATION COMMISSION ELECTRONIC SIGNATURE AGREEMENT
CCO Form: DE06 Approved: 02/14 (AR) Revised: Modified: MISSOURI HIGHWAYS AND TRANSPORTATION COMMISSION ELECTRONIC SIGNATURE AGREEMENT THIS AGREEMENT is entered into by the Missouri Highways and Transportation
More informationEquipment Lease Agreement
Equipment Lease Agreement This Equipment Lease Agreement (the Agreement ) is made and entered on,, by and between ( Lessor ) and ( Lessee ) (collectively referred to as the Parties ). The Parties agree
More informationFacility Rental Agreement (License Agreement)
Facility Rental Agreement (License Agreement) 1928 West Broadway Vancouver, B.C. V6J 1Z2 604.736.1928 Date: Day/Month/Year Client Information: Name: Address: Postal Code: Telephone: Fax: Email: Addn l
More informationShotgun Coaching Workshop Registration and Information Package
Shotgun Coaching Workshop Registration and Information Package Edmonton Conservation Education Centre for Excellence #88, 4003 98 th Street Edmonton, Alberta, Canada T6E 6M8 Phone: (780) 466-6682 or Toll
More information16 th Annual Community Challenge Training Program in Deep Cove
Deep Cove Rowing Club Community Challenge 2015 16 th Annual Community Challenge Training Program in Deep Cove April 20 to June 6, 2015 The DCRC Community Challenge is once again looking for participants
More information2015 ADF School Medical/Insurance Information & Liability Waivers INSURANCE INFORMATION
These forms must be completed and signed in all appropriate places by the participant, the participant s physician, and if under age 18, by the participant s legal guardian. The medical information we
More informationI UNDERSTAND THAT THESE RISKS MAY RESULT IN INJURY OR EVEN DEATH.
CORNELL COLLEGE S RELEASE, WAIVER AND INDEMNIFICATION AGREEMENT FOR NON-EMPLOYEES ATTENDING FOR CREDIT ACTIVITIES OFFERED BY NON- EIIA MEMBER INSTITUTIONS OR OTHER THIRD PARTIES OR INDEPENDENT STUDY OR
More informationEquipment & Materials Lease Policy Adopted: August 2013 Reviewed: Revised:
Equipment & Materials Lease Policy Adopted: August 2013 Reviewed: Revised: The Wisconsin Off-Road Vehicle Park, Incorporated (WORVPI) will adhere to all federal, state, tribal, and local laws concerning
More informationINDEPENDENT VIRTUAL ASSISTANT AGREEMENT (Company)
INDEPENDENT VIRTUAL ASSISTANT AGREEMENT (Company) This Independent Virtual Assistant Agreement ( Agreement ) is entered into as of,, by and between, with a principal place of business at ( Company ), and,
More informationFACILITIES USE AGREEMENT
FACILITIES USE AGREEMENT Effective Date: Sponsor: Sponsor Address: Facility: THIS FACILITIES USE AGREEMENT ( Agreement ) is effective as of the Effective Date set forth above, by and between Temple University
More informationAIRCRAFT RENTAL AGREEMENT
AIRCRAFT RENTAL AGREEMENT First Name: Last Name: Street Address: City: State: Zip: Home Phone: ( ) Cell Phone: ( ) Email: Date of Birth: / / Under Age 18 IN CASE OF EMERGENCY NOTIFY: Name: Telephone: Relationship:
More informationInsurance Producer Agreement
Insurance Producer Agreement Section 1 - Producer s Authority The Producer shall periodically submit risks to the Company for its consideration as authorized by the Company. These risks shall be located
More informationRACER'S INFORMATION PACKET
RACER'S INFORMATION PACKET SATURDAY MARCH 14, 2015 7:00AM - NOON PARTICIPATING SPONSORS MEDIA SPONSOR version 02 Thank you for choosing to participate in the inaugural Great Rotary Swan Boat Race! We're
More informationMEMBERSHIP/BOAT SUPPORT APPLICATION
MEMBERSHIP/BOAT SUPPORT APPLICATION Family memberships include no more than two adults per household and their unmarried rowing children under the age of 21 (or currently enrolled in school up to age 23).
More informationTerms and Conditions for Pump Equipment Loan Agreement
Terms and Conditions for Pump Equipment Loan Agreement These Terms and Conditions for loan program for pump equipment and accessories shall constitute the complete agreement between EMSL Analytical, Inc.,,,
More informationINDEPENDENT CONTRACTOR AGREEMENT
INDEPENDENT CONTRACTOR AGREEMENT This Independent Contractor Agreement (this Agreement ) is made and entered into as of, 20, by and between [INSERT NAME OF CONTRACTING PARTY] (the Contracting Party ),
More informationSIM VIDEO CHINA FORMS PACKAGE
FORMS PACKAGE Dear Client, We have designed the following forms package to conveniently provide you with all of the documentation required to establish an account with Sim Video China. Our Forms Package
More informationA. The vessel owner has appointed Solstice Sailing, Inc. as agent to manage and charter the yacht identified in the below as:
THIS AGREEMENT is made between Solstice Sailing, Inc., DBA, a Michigan Company of Traverse City, Michigan (,Solstice Sailing") and, Charterer" (Print Charterer Name here) RECITALS A. The vessel owner has
More informationSELF-STORAGE SPACE RENTAL AGREEMENT
SELF-STORAGE SPACE RENTAL AGREEMENT 1. Tenant Information: (b) Alternate Contact Information: Name: Zip: Home Phone: ( ) Cell Phone: ( ) Email: SS#: Driver s License #: State: 2. (a) Occupant Other Than
More informationTHESE FORMS ARE NOT A SUBSTITUTE FOR LEGAL ADVICE.
DISCLAIMER The forms provided on our site were drafted by lawyers with knowledge of equine and contractual matters. However, the forms are not State specific. THESE FORMS ARE NOT A SUBSTITUTE FOR LEGAL
More informationResidential Lease. LAST MONTH'S RENT. Landlord will be collecting $[ propzip ] as last month's rent at the commencement of this Lease.
Residential Lease This Lease is entered into by and between [ landlordfirst ] [ landlordmiddle ] [ landlordlast ], whose address is [ landlordaddress ] [ landlordapt ], [ landlordcity ], [ landlordstate
More informationEND USER USER-SUBJECT-TO- QUALIFICATION SOFTWARE LICENSE AGREEMENT
END USER USER-SUBJECT-TO- QUALIFICATION SOFTWARE LICENSE AGREEMENT For Access and Use of DRDPtech, software containing Desired Results Developmental Profiles 2010 (DRDP 2010) & DRDP (2015) 2014 Cloud Version
More informationINTERNATIONAL LEADERSHIP OF TEXAS
INTERNATIONAL LEADERSHIP OF TEXAS ACKNOWLEDGMENT OF RISK, INDEMNITY, WAIVER AND RELEASE OF LIABILITY AGREEMENT, NOTICE OF FINANCIAL RESPONSIBILITY, AND MEDICAL AUTHORIZATION & INFORMATION FORM IN WITNESS
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 information310-663-6779 / 365vrps@365vrps.com Vacation Rental Agreement & Invoice
310-663-6779 / 365vrps@365vrps.com Vacation Rental Agreement & Invoice Thank you for choosing 365 VACATION RENTALS for your vacation needs. We hope you have a pleasant stay. This Vacation Rental Agreement
More informationPEACE DALE SHOOTING PRESERVE RELEASE, WAIVER OF LIABILITY & INDEMNITY AGREEMENT
PEACE DALE SHOOTING PRESERVE RELEASE, WAIVER OF LIABILITY & INDEMNITY AGREEMENT CAUTION: READ THIS AGREEMENT CAREFULLY BEFORE SIGNING In consideration of Peace Dale Shooting Preserve, ("PDSP") furnishing
More informationVOLUNTEER ATHLETIC COACHES RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT
VOLUNTEER ATHLETIC COACHES RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT I, ( Volunteer ), desire to participate as a volunteer athletic coach in the ( Program ) on. I acknowledge
More information2016 Release and Waiver of Liability PLEASE READ CAREFULLY! THIS IS A LEGAL DOCUMENT THAT AFFECTS YOUR LEGAL RIGHTS!
2016 Release and Waiver of Liability PLEASE READ CAREFULLY! THIS IS A LEGAL DOCUMENT THAT AFFECTS YOUR LEGAL RIGHTS! This Release and Waiver of Liability (the Release ) is executed on this day of (month),
More informationWATERSPORTS INSURANCE
GLOBAL MARINE INSURANCE AGENCY ~ Watersports Insurance Program WATERSPORTS INSURANCE APPLICANT INFORMATION PRODUCER INFORMATION Business Name: GLOBAL MARINE INSURANCE AGENCY, INC. Contact Person: Address:
More informationCONSTRUCTION ROAD CLOSURE APPLICATION
Please return completed application form to: Secretary, Development Services City of Penticton, 2 nd Floor 171 Main Street, Penticton, BC V2A 5A9 Phone: (250) 490-2501 Fax: (250) 490-2502 CONSTRUCTION
More informationVAULT HEALTH AND FITNESS, LLC MEMBERSHIP AGREEMENT
VAULT HEALTH AND FITNESS, LLC MEMBERSHIP AGREEMENT Full Name: Male Female Home Address: City: State: ZIP: Date of Birth: / / Home Phone: ( ) Cell Phone: ( ) Alternate Phone: ( ) Email Address: The undersigned
More informationCORD BLOOD FINANCIAL AND STORAGE AGREEMENT
CORD BLOOD FINANCIAL AND STORAGE AGREEMENT THIS CORD BLOOD FINANCIAL AND STORAGE AGREEMENT ( Agreement ) is made and entered into as of the Effective Date, by and between M.A.Z.E. Cord Blood Laboratories,
More informationGCAC Terms and Agreements
Rental Instructions: Initial all areas then print Name where indicated Sign and Date where indicated Submit this form back to Gold Country Adventure Cycles by fax: Gold Country Adventure Cycles: 578 W.
More informationNEW STUDENT REGISTRATION
NEW STUDENT REGISTRATION High Performance: Academy Prep: Early Childhood: $20.00 registration fee (includes 2 Academy T-shirts) $20.00 registration fee (includes 2 Academy T-shirts) $10.00 registration
More informationSUPER OVERSIZE / OVERWEIGHT SINGLE TRIP
CITY OF BAYTOWN City Clerk s Office 2401 Market Street Baytown, Texas 77520 Phone: (281) 420-6504 Fax: (281) 420-5891 Web: www.baytown.org FOR OFFICE USE ONLY Date Received: Date Processed: SUPER OVERSIZE
More informationMaster Software Purchase Agreement
Master Software Purchase Agreement This Master Software Purchase Agreement ( Agreement ) is entered into as of Wednesday, March 12, 2014 (the Effective Date ) by and between with principal offices at (
More informationEmerald Hills Junior Golf Camp - Summer 2016. 938 WILMINGTON WAY REDWOOD CITY, CA 94062 www.playemeraldhills.com E-Mail - jrgolf.ehgc@gmail.
OUR CAMPS ARE FOR GIRLS AND BOYS (AGES 5 THRU 14) Visit our website at Junior Golf Camp (9:00am 12:30pm) We start camp early (8:45am) on Monday for check-in and orientation. The camp is designed for beginners
More informationDEMISE CHARTER AGREEMENT Bare Boat Charter
DEMISE CHARTER AGREEMENT Bare Boat Charter This Charter Agreement entered into on this the day of, 20, between hereinafter referred to as the Owner and or their assignee (hereinafter referred to as the
More informationSixt rent a car - Rental Agreement, Terms & Conditions
1. Definitions. Agreement means the Terms and Conditions on this page and the provisions found on the Face Page, and the General Rental Terms that you agree to on our website. You or your means the person
More informationDefensive Driving While Towing a Trailer By Elizabeth Koncki, Maryland Department of Agriculture
Defensive Driving While Towing a Trailer By Elizabeth Koncki, Maryland Department of Agriculture Many of you have heard the term defensive driving, but maybe you may have not been taught the method or
More informationINDEPENDENT CONTRACTOR AGREEMENT. Currituck (hereinafter County ) and, RECITALS
INDEPENDENT CONTRACTOR AGREEMENT THIS AGREEMENT is made the day December, 2015, between the County of Currituck (hereinafter County ) and, (hereinafter Contractor ). RECITALS County is a body corporate
More informationMASS. SELF STORAGE RENTAL AGREEMENT Longwood Storage, Inc 5 Station street Brookline, MA 02445
Occupant: Unit # : Address: MASS. SELF STORAGE RENTAL AGREEMENT Longwood Storage, Inc 5 Station street Brookline, MA 02445 City State Zip Phone (Home/cell) (E-Mail) (Business) Social Security # Driver's
More informationWilderness First Aid. Basler Center for Physical Activitiy. Saturday Feb. 25 - Sunday Feb. 26. Non Credit Instruction. Wilderness First Aid
Non Credit Instruction Saturday Feb. 25 - Sunday Feb. 26 Wilderness First Aid Offered at ETSU through Landmark Learning. Saturday Feb. 25 through Sunday Feb. 26 8 a.m 5 p.m. Wilderness First Aid $125 ETSU
More informationNPSA GENERAL PROVISIONS
NPSA GENERAL PROVISIONS 1. Independent Contractor. A. It is understood and agreed that CONTRACTOR (including CONTRACTOR s employees) is an independent contractor and that no relationship of employer-employee
More informationREGISTRATION & MEDICAL FORM
REGISTRATION & MEDICAL FORM NAME ADDRESS CITY PROV POSTAL TELEPHONE E-MAIL CLUB BIRTH DATE DD/ MM / YYYY AGE (on Dec. 31, 2011) GENDER: M F MB MEDICAL # For Office Use Only: Plate number: Category: Amount
More informationBackcountry Outdoor Adventure Camp
Backcountry Outdoor Adventure Camp Get outdoors. Connect with nature. Focused on combining a passion for biology, conservation, and ecology with outdoor recreation. Registration Packet is due by: Registration
More informationPittsfield Family YMCA: Personal Training Services
Pittsfield Family YMCA: Personal Training Services I would like to purchase the following Client s Name personal training package with personal trainer : Trainer s Name 1 Session, $40 2 Sessions, $80 5
More informationTexas A&M University-Corpus Christi Youth Program Medical Emergency Information/Consent for Treatment
Texas A&M University-Corpus Christi Youth Program Medical Emergency Information/Consent for Treatment Youth s name: Address: Date of birth: Parent/guardian phone: Home Work Pager/Cellular Medical Information
More informationELECTRONIC FILER AGREEMENT
ELECTRONIC FILER AGREEMENT This Electronic Filer Agreement (the Agreement) is made by and among the Celotex Asbestos Settlement Trust (the Celotex Trust), and, after assignment as hereinafter provided,
More informationwithout a signed waiver Santa Fe, NM 87506 Fax: 505 820 Student Name: City: Zip: State: Physician's Name: Parent Name(s): Parent Address: City:
Please mail application to: Las Campanas Compadres, Inc. 15 Buckskin Circle Santa Fe, NM 87506 Fax: 505 820 2709 Las Campanas Compadres, Inc. Student Application Form Please be sure to sign the waiver
More informationNON EXCLUSIVE BROKER REFERRAL AGREEMENT
NON EXCLUSIVE BROKER REFERRAL AGREEMENT THIS NON-EXCLUSIVE BROKER REFERRAL AGREEMENT (this Broker Contract ) is made this day of, 2013 by and between [NAME] (herein after called the "IFPG FRANCHISE CONSULTANT/BROKER
More informationSERVICE AGREEMENT FOR FULL REIMBURSEMENT MANAGEMENT
SERVICE AGREEMENT FOR FULL REIMBURSEMENT MANAGEMENT This Service Agreement is entered into by and between the New Hampshire Alcohol and Other Drug Service Providers Association, a New Hampshire non-profit
More informationSALEM STATE UNIVERSITY CLIPPERCARD MERCHANT AGREEMENT
SALEM STATE UNIVERSITY CLIPPERCARD MERCHANT AGREEMENT AGREEMENT made as of the day of by and between Salem State University, a Massachusetts state institution of higher learning having its principal offices
More informationReal Estate Salesman Agreement (Independent Contractor)
Real Estate Salesman Agreement (Independent Contractor) This Packet Includes: 1. General Information 2. Instructions and Checklist 3. Real Estate Salesman Agreement (Independent Contractor ) 1 General
More informationReferral Agency and Packaging Agency Agreement
Referral Agency and Packaging Agency Agreement Please read this agreement carefully. In signing this agreement, you acknowledge that you have read, understood and agree to be bound by each and every provision
More information