2014 Fort Worth Regional Science and Engineering Fair, University of Texas at Arlington, RadioShack. Media Release Form

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "2014 Fort Worth Regional Science and Engineering Fair, University of Texas at Arlington, RadioShack. Media Release Form"

Transcription

1 2014 Fort Worth Regional Science and Engineering Fair, University of Texas at Arlington, RadioShack Media Release Form I hereby consent to and authorize the use and reproduction by Fort Worth Regional Science and Engineering Fair and the ExxonMobil Texas Science and Engineering Fair, of any and all photographs or video recordings taken of me at the 2014 Regional or State Fair for the purposes of promotion, illustration, advertising, or publication, without further compensation to me. All negatives and prints shall constitute the property of the Fort Worth Regional Science and Engineering Fair and the ExxonMobil Texas Science and Engineering Fair or their designated publicity agents. Please use BLUE ink. Students Printed Name Signature (Parental Signature If Below Age of 18) Phone Number Grade in School Address Mailing Address City, State, Zip Code School Teacher s name Teacher s ; Phone Number: School address City, State, Zip Code School newspaper School website I hereby certify that I am the parent or legal guardian of and I do give my consent on his/her behalf. Signature of parent or guardian Form 14-1 Rev 08/09/2013 You may be entitled to know what information UT Arlington collects concerning you. You may review and have UT Arlington correct this information according to procedures set forth in UT System Administration UTS 139. The law is found in sections , and of the Texas Government Code.

2 The University of Texas at Arlington, RadioShack Corporation Release and Indemnification Agreement for Minors PARTICIPANT (Name and Address): SCHOOL NAME: DESCRIPTION OF ACTIVITY OR TRIP: UTA Science and Engineering Activities / RadioShack Soldering Event LOCATION: UT Arlington campus DATE(s): February 23-24, 2014 I am the Parent/Guardian of the above-named Participant who is under eighteen years of age and am fully competent to sign this Agreement. I give permission for Participant to participate in the above-referenced Activity or Trip. I acknowledge that the nature of the Activity or Trip may expose Participant to hazards or risks that may result in Participant's illness, personal injury or death and I understand and appreciate the nature of such hazards and risks. In consideration of Participant being permitted to participate in the Activity or Trip, I hereby accept all risk to Participant's health and of his/her injury or death that may result from such participation and I hereby release the above named Institution, its governing board, officers, employees and representatives and RadioShack Corporation, its directors, officers, employees, representatives, sponsors, other participants any affiliated or unaffiliated third parties (The Parties) from any and all liability to Participant, Participant's personal representatives, estate, heirs, next of kin, and assigns for any and all claims and causes of action for loss of or damage to Participant's property and for any and all illness or injury to Participant's person, including his/her death, that may result from or occur during Participant's participation in the Activity or Trip, whether caused by negligence of the Institution, its governing board, officers, employees, or representatives, or otherwise and or RadioShack Corporation, its directors, officers, employees, representatives, sponsors, other participants any affiliated or unaffiliated third parties. I further agree to indemnify and hold harmless the Institution and its governing board, officers, employees, and representatives and RadioShack Corporation, its directors, officers, employees and representatives from liability for the injury or death of any person(s) and damage to property that may result from Participant's negligent or intentional act or omission while participating in the described Activity or Trip. I HAVE CAREFULLY READ THIS AGREEMENT AND UNDERSTAND IT TO BE A RELEASE OF ALL CLAIMS AND CAUSES OF ACTION FOR PARTICIPANT'S INJURY OR DEATH OR DAMAGE TO PARTICIPANT'S PROPERTY THAT OCCURS WHILE PARTICIPATING IN THE DESCRIBED ACTIVITY OR TRIP AND IT OBLIGATES ME TO INDEMNIFY THE PARTIES NAMED FOR ANY LIABILITY FOR INJURY OR DEATH OF ANY PERSON AND DAMAGE TO PROPERTY CAUSED BY PARTICIPANT'S NEGLIGENT OR INTENTIONAL ACT OR OMISSION. Print Name(s) of Parent/Guardian: Signature of Parent/Guardian Signed: Print Name(s) of Witness: Signature of Witness: Signed: Address (if different than Participant's): You may be entitled to know what information UT Arlington collects concerning you. You may review and have UT Arlington correct this information according to procedures set forth in UT System Administration UTS 139. The law is found in sections , and of the Texas Government Code. You may be entitled to know what information UT Arlington collects concerning you. You may review and have UT Arlington correct this information according to procedures set forth in UT System Administration UTS 139. The law is found in sections , and of the Texas Government Code.

3 Form 14-1 Rev 08/09/2013 The University of Texas at Arlington Photographic Consent and Release I hereby authorize The University of Texas at Arlington, and those acting pursuant to its authority to: (a) Record my likeness and voice on a video, audio, photographic, digital, and electronic or any other medium. (b) Use my name in connection with these recordings. (c) Use, reproduce, exhibit or distribute in any medium (e.g. print publications, video tapes, CD-ROM, Internet! WWW) these recordings for any purpose that the University, and those acting pursuant to its authority, deems appropriate, including promotional or advertising efforts. I release the University and those acting pursuant to its authority from liability for any violation of any personal or proprietary right I may have in connection with such use. I understand that all such recordings, in whatever medium, shall remain the property of the University. I have read and fully understand the terms of this release. Name:,, Lastname Firstname M.I. Address: Street,, City State Zip Phone: Teacher Name: First Name MI Last Name Teacher s ; Phone Number: Student s Signature: : Parent/Guardian Signature (if under 18): : You may be entitled to know what information UT Arlington collects concerning you. You may review and have UT Arlington correct this information according to procedures set forth in UT System Administration UTS 139. The law is found in sections , and of the Texas Government Code.

4 TALENT RELEASE Lockheed Martin Aeronautics Company has requested me (or my guardian),, to grant to them certain rights (hereinafter more fully set forth) arising from my participation in a video presentation (hereinafter referred to as the Production) made by or produced for Lockheed Martin Aeronautics Company. I (or my guardian) hereby grant to Lockheed Martin Aeronautics Company the following rights without monetary or other rewards: (a) (b) To use my name, photograph, likeness, and appearances made in connection with said Production in any manner; to record, reproduce, amplify, and simulate my voice and other sound effects produced by me; and to reproduce, distribute, publish, exhibit and or transmit the same by any mechanical or electrical means, and to use the same perpetually. The right to make copies of said Production and distribute for viewing to any persons. This grant and release shall insure to the benefit of Lockheed Martin Aeronautics Company and its officers, agents, servants, and employees when acting in their official capacities, and to their heirs, executors, administrators, successors or assigns, and to any other person lawfully reproducing, distributing, exhibiting or otherwise using the said Production or any portion thereof. Print Name of Talent Signature of Talent Print Name of Guardian (If Talent Under 18 Years Old) Signature of Guardian (If Talent Under 18 Years Old) Signature of Witness

5 Lockheed Martin Corporation Media Release Form I,, hereby irrevocably give and grant to Lockheed Martin Corporation and their directors, officers, employees, affiliates, successors and assigns (individually and collectively, LMC ) all rights, title and interest in the photos and videos taken of me at (the Event ). I acknowledge that my participation was voluntary and no consideration is required to give this release full force and effect. Without limiting the generality of the foregoing, I hereby: 1. authorize LMC to record and use, publish and reproduce, separately or together, my image, and likeness, name and identity in whole or in part, in print or electronic format or any media now known or hereafter created in connection with my participation in the Event ( Works ). 2. waive, release, and discharge LMC from any and all claims I may now or later have (whether related to copyright, right of privacy, right of publicity, performer rights, tort, contract, statute or otherwise) by reason of LMC s or another s creation, use (whether or not merely internal to LMC or another business entity), distribution, publication, performance, broadcast, alteration, or adaptation (collectively, Utilization ) of the Works; 3. agree not to assert or attempt to exercise any ownership or other right or interest in the Works; 4. waive any and all claims for compensation related to the Works or any Utilization thereof; 5. waive any right to inspect or approve the Works or any context in which they may appear; 6. acknowledge and agree that LMC will have the right to register, in the name of LMC, the copyrights in the Works and that LMC, and others with LMC consent, will have the right to Utilize the Works in any manner, at any time, and for any purpose whatsoever; and 7. WAIVE AND RELEASE ANY CLAIMS OR CAUSES OF ACTION which I may now or hereafter have against LMC, except to the extent due to the gross negligence or willful misconduct of LMC, to the fullest extent permitted by applicable laws, arising in connection with my participation in the Event, and hold harmless LMC against any and all claims resulting from such participation, including, without limitation, claims for compensation, defamation, or invasion of privacy, or other infringements or violations of personal or property rights of any sort whatsoever. I represent and warrant that: I am eighteen (18) years of age or older; this release does not in any way conflict with any existing commitments on my part; and I have full right to grant this release without violating the rights of any third party. If Releasor is under the age of eighteen (18) years, Releasor s parent or guardian must sign this Release. Nothing contained herein will constitute any obligation on LMC to make any use of the rights set forth herein. This authorization and release will be absolute and irrevocable and will extend to any and all organizations and persons authorized by LMC relative to the Works. Nothing herein shall be construed to alter, amend or affect any employment agreement, express or implied, I have with LMC. I have read and understand this document and agree to be bound by its terms. Signature of Releasor or Parent/Guardian Printed Name of Releasor or Parent/Guardian Printed Name of Minor (if applicable)

6 Media Release Form 2013 ExxonMobil Texas Science and Engineering Fair I hereby consent to and authorize the use and reproduction by ExxonMobil Texas Science and Engineering Fair, of any and all photographs or video recordings taken of me at the 2013 ExxonMobil Texas Science and Engineering Fair for the purposes of promotion, illustration, advertising, or publication, without further compensation to me. All negatives and prints shall constitute the property of ExxonMobil Texas Science and Engineering Fair or their designated publicity agents. Printed name (Name of participant) PIN Signature (Parental signature required below if under age 18.) Mailing address City State Zip Code Phone I hereby certify that I am the parent or legal guardian of and I do give my consent on his/her behalf. Signature of parent or guardian Note: All bolded and underlined items will describe each individual region.

Registration Form Spots are limited and on a first come first serve basis

Registration Form Spots are limited and on a first come first serve basis UT Houston Medical School s JAMP Symposium March 27 th or April 17 th, 2015 Registration Form Spots are limited and on a first come first serve basis Please Note: Registration is not complete until you

More information

CONTENT LICENSE & PHOTOGRAPER REPRENTATION AGREEMENT

CONTENT LICENSE & PHOTOGRAPER REPRENTATION AGREEMENT CONTENT LICENSE & PHOTOGRAPER REPRENTATION AGREEMENT This is a fairly lengthy document, and it contains many important provisions that affect your rights and obligations. By accepting this agreement, you

More information

PARTICIPANT APPLICATION & RELEASE. * For verification purposes only pursuant to 18 U.S.C. 2256 et seq.

PARTICIPANT APPLICATION & RELEASE. * For verification purposes only pursuant to 18 U.S.C. 2256 et seq. PARTICIPANT APPLICATION & RELEASE * For verification purposes only pursuant to 18 U.S.C. 2256 et seq. Have you ever been through a major hardship/tragedy? (hurricane, tornado, fire, earthquake, major

More information

PHOTOGRAPHY/VIDEO SERVICES AGREEMENT

PHOTOGRAPHY/VIDEO SERVICES AGREEMENT PHOTOGRAPHY/VIDEO SERVICES AGREEMENT This Agreement is entered into as of the day of, 201_, between, Villanova University ( Villanova ) and, ( Photographer ). 1. Services. (a) Description and Requirements.

More information

INDEPENDENT VIRTUAL ASSISTANT AGREEMENT (Company)

INDEPENDENT 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 information

Motorcycle RiderCourse WAIVERS

Motorcycle 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 information

Assignment of Rights Agreement (short form) Assignment of rights agreement dated 20 between (entrant) and [author/composer] (assignor), for $ paid by

Assignment of Rights Agreement (short form) Assignment of rights agreement dated 20 between (entrant) and [author/composer] (assignor), for $ paid by Assignment of Rights Agreement (short form) Assignment of rights agreement dated 20 between (entrant) and [author/composer] (assignor), for $ paid by entrant to assignor, and other good and valuable consideration,

More information

LEGAL FORMS. In this document, you will find the necessary legal documents both informational notices and release forms.

LEGAL FORMS. In this document, you will find the necessary legal documents both informational notices and release forms. LEGAL FORMS On this journey, you will likely speak with or work with young people who are under 18. If you plan to meet with minors, be sure to get permission from their families first. In this document,

More information

Aquaculture, Biology, and Conservation Summer Camp 2015 Registration Forms

Aquaculture, Biology, and Conservation Summer Camp 2015 Registration Forms Aquaculture, Biology, and Conservation Summer Camp 2015 Registration Forms All forms and payment are due no later than June 15, 2015 Note: There is a $25 non-refundable registration fee, and no refunds

More information

California Polytechnic State University, Pomona Vietnamese Student Association. Family. Honor. Tradition.

California 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 information

Release of Liability. Printed Name of Participant:

Release 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 information

INDEPENDENT CONTRACTOR AGREEMENT

INDEPENDENT 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 information

FREELANCE PHOTOGRAPHY AGREEMENT

FREELANCE PHOTOGRAPHY AGREEMENT FREELANCE PHOTOGRAPHY AGREEMENT This Freelance Photography Agreement ( Agreement ) is made and entered into this day of, 201 ( Effective Date ) by and between Xavier University ( University ), an Ohio

More information

Non-Exclusive License Agreement to Webcast on The Pond: Mills College Online Stream

Non-Exclusive License Agreement to Webcast on The Pond: Mills College Online Stream Non-Exclusive License Agreement to Webcast on The Pond: Mills College Online Stream This Agreement is entered into by and between Mills College, on behalf of its student organization The Pond: Mills College

More information

Sign-up students NOW!

Sign-up students NOW! Formally known as SEMAA MAA is a K-12 Hands-on, Minds-on STEM (Science, Technology, Engineering, and Mathematics) engagement at its best! Sign-up students NOW! Tri-C MAA offers fun STEM education activities

More information

NEW STUDENT REGISTRATION

NEW 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 information

Terms of Submission In order to participate, you must be at least eighteen (18) years old.

Terms of Submission In order to participate, you must be at least eighteen (18) years old. Terms of Submission NBCUniversal Media, LLC company ( NBCU ) located at 30 Rockefeller Plaza, New York, NY 10112, invites you to join in on the fun with The Tonight Show Starring Jimmy Fallon (the Show

More information

DATE OF BIRTH: STREET ADDRESS: CITY/STATE/ZIP:

DATE 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 information

SETTLEMENT AGREEMENT AND RELEASE

SETTLEMENT 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 information

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 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 information

POLICY CONCERNING SUBMISSION OF IDEAS AND OTHER MATERIALS

POLICY CONCERNING SUBMISSION OF IDEAS AND OTHER MATERIALS @radical.media LLC POLICY CONCERNING SUBMISSION OF IDEAS AND OTHER MATERIALS @radical.media LLC wishes to acquaint all those who have been kind enough to submit materials, including ideas, proposals, marketing

More information

CHICAGO 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 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 information

MUSIC SYNCHRONIZATION AND MASTER USE LICENSE AGREEMENT

MUSIC SYNCHRONIZATION AND MASTER USE LICENSE AGREEMENT MUSIC SYNCHRONIZATION AND MASTER USE LICENSE AGREEMENT This Music Synchronization and Master Use License Agreement ( Agreement ) is made and entered into this day of, 200_ ( Effective Date ) by and between

More information

BROKER/AGENT INFORMATION PAGE RETS IDX

BROKER/AGENT INFORMATION PAGE RETS IDX FRESNO ASSOCIATION OF REALTORS IDX / RETS Compliance 6720 N West Ave. Fresno, CA 93711 (559) 490-6400 ~ rets@fresnorealtors.com BROKER/AGENT INFORMATION PAGE RETS IDX IN WITNESS WHEREOF, the parties hereto

More information

UNIVERSITY OF HOUSTON STUDY ABROAD PROGRAM ACTIVITIES PARTICIPANT S RELEASE AND WAIVER OF LIABILITY AGREEMENT (Form A1) I. RELEASE

UNIVERSITY OF HOUSTON STUDY ABROAD PROGRAM ACTIVITIES PARTICIPANT S RELEASE AND WAIVER OF LIABILITY AGREEMENT (Form A1) I. RELEASE UNIVERSITY OF HOUSTON STUDY ABROAD PROGRAM ACTIVITIES PARTICIPANT S RELEASE AND WAIVER OF LIABILITY AGREEMENT (Form A1) This Release and Waiver of Liability Agreement is entered into by all Participants

More information

SETTLEMENT AGREEMENT AND RELEASE

SETTLEMENT AGREEMENT AND RELEASE SETTLEMENT AGREEMENT AND RELEASE This Settlement Agreement and Release (the "Settlement Agreement") is made and entered into by and between: "Plaintiffs" "Defendants" Insurer Recitals A. Plaintiffs filed

More information

ELKHART COUNTY BOARD OF REALTORS AND MULTIPLE LISTING SERVICE OF ELKHART COUNTY INC. VIRTUAL OFFICE WEBSITE (VOW) LICENSE AGREEMENT

ELKHART COUNTY BOARD OF REALTORS AND MULTIPLE LISTING SERVICE OF ELKHART COUNTY INC. VIRTUAL OFFICE WEBSITE (VOW) LICENSE AGREEMENT ELKHART COUNTY BOARD OF REALTORS AND MULTIPLE LISTING SERVICE OF ELKHART COUNTY INC. VIRTUAL OFFICE WEBSITE (VOW) LICENSE AGREEMENT This License Agreement (the Agreement) is made and entered into between

More information

WEBSITE TERMS & CONDITIONS. Last updated March 27, 2015

WEBSITE TERMS & CONDITIONS. Last updated March 27, 2015 WEBSITE TERMS & CONDITIONS Last updated March 27, 2015 1. Introduction and Acceptance of Terms & Conditions Running Away Enterprises, LLC, a Delaware limited liability company d/b/a Enmotive ( us, we,

More information

Baylor Autism Resource Center Applied Behavior Analysis (ABA) Therapy Program

Baylor Autism Resource Center Applied Behavior Analysis (ABA) Therapy Program Baylor Autism Resource Center Applied Behavior Analysis (ABA) Therapy Program Please see the enclosed information and application for more information. The Baylor Autism Resource Center (BARC) Applied

More information

Official Contest Rules

Official Contest Rules Official Contest Rules NO PURCHASE NECESSARY TO ENTER OR TO WIN THE CONTEST. VOID WHERE PROHIBITED BY LAW. 1) CONTEST DESCRIPTION: This contest (the Contest ) is a visual arts competition open to eligible

More information

MRMLS LISTING INFORMATION LICENSE AGREEMENT

MRMLS LISTING INFORMATION LICENSE AGREEMENT MRMLS LISTING INFORMATION LICENSE AGREEMENT (MRMLS data feed to Affiliated VOW Partner) This Listing Information License Agreement (the Agreement ) is made and entered into by and between MULTI REGIONAL

More information

Volunteer Agreement, Release and Waiver of Liability PLEASE READ CAREFULLY! THIS IS A LEGAL DOCUMENT THAT AFFECTS YOUR LEGAL RIGHTS!

Volunteer Agreement, Release and Waiver of Liability PLEASE READ CAREFULLY! THIS IS A LEGAL DOCUMENT THAT AFFECTS YOUR LEGAL RIGHTS! Standard Waiver Template for All Volunteers (Minors and Adults) IMPORTANT: (1) All legal documents should be reviewed by an attorney prior to use. (2) Each volunteer must have a separate signed Volunteer

More information

INDEPENDENT CONTRACTOR AGREEMENT

INDEPENDENT CONTRACTOR AGREEMENT INDEPENDENT CONTRACTOR AGREEMENT Contract Date:, 20 Brokerage Firm: ( Broker ) Address of Firm: Associate Broker/Salesperson: ( Associate ) 1. Broker, a licensed Michigan real estate broker, retains Associate,

More information

LICENSE AGREEMENT FOR USE & DISTRIBUTION OF CREATIVE PROPERTY:

LICENSE AGREEMENT FOR USE & DISTRIBUTION OF CREATIVE PROPERTY: LICENSE AGREEMENT FOR USE & DISTRIBUTION OF CREATIVE PROPERTY: 1. The Licensor hereby grants to and Travel Alberta a non-exclusive, perpetual, worldwide, royalty-free license to use, publish, modify and

More information

Deadmau5 feat Imogen Heap video clip for Telemisscommunications

Deadmau5 feat Imogen Heap video clip for Telemisscommunications VIDEO PRODUCTION AGREEMENT TO: [ ] ( you ) (please confirm address) FROM: VIRGIN RECORDS LIMITED 27 Wrights Lane London W8 5SW ( we, us ) DATED: 2012 Dear Sirs Deadmau5 feat Imogen Heap video clip for

More information

Indemnity to ERC, and to Minor Release

Indemnity 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 information

Master Software Purchase Agreement

Master 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 information

CONTRACT FOR PHOTOGRAPHIC SERVICES

CONTRACT FOR PHOTOGRAPHIC SERVICES Client Name: Date: CONTRACT FOR PHOTOGRAPHIC SERVICES It is understood that Velvet Lotus Photography (Photographer) is the exclusive, official photographer retained to perform photographic services requested

More information

VIVA! Peer Tutors 2012 Health Literacy Video Contest COPYRIGHT FORM

VIVA! Peer Tutors 2012 Health Literacy Video Contest COPYRIGHT FORM COPYRIGHT FORM Every entrant must complete and submit this form together with ALL OTHER FORMS. Please do not send separately. All forms must be received by March 19, 2012. Please complete this form and

More information

VIRTUAL OFFICE WEBSITE LICENSE AGREEMENT

VIRTUAL OFFICE WEBSITE LICENSE AGREEMENT Florida Keys Multiple Listing Service, Inc. VIRTUAL OFFICE WEBSITE LICENSE AGREEMENT Florida Keys MLS, Inc. 92410 Overseas Hwy, Ste. 11 Tavernier FL 33070 305-852-92940 305-852-0716 (fax) www.flexmls.com

More information

RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT DOMESTIC OVERNIGHT TRAVEL/INHERENT DANGER DESTINATION:

RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT DOMESTIC OVERNIGHT TRAVEL/INHERENT DANGER DESTINATION: RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT DOMESTIC OVERNIGHT TRAVEL/INHERENT DANGER DESTINATION: Schreiner University (SU) allows Participants to participate in Participant

More information

Dear Fellow Educator:

Dear Fellow Educator: Dear Fellow Educator: On behalf of Hofstra s Department of Political Science and Model United Nations Club, I would like to invite your high school to participate in the fifth annual Hofstra University

More information

2015 ADF School Medical/Insurance Information & Liability Waivers INSURANCE INFORMATION

2015 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 information

NON EXCLUSIVE BROKER REFERRAL AGREEMENT

NON 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 information

THIS AGREEMENT SHURTECH BRANDS, LLC

THIS AGREEMENT SHURTECH BRANDS, LLC SUBMISSION AGREEMENT THIS AGREEMENT is entered and effective as of, 20, by and between SHURTECH BRANDS, LLC, a North Carolina limited liability company, having offices at 32150 Just Imagine Drive, Avon,

More information

Cobb County School District Blanket Permission to Participate (Walton High School Habitat for Humanity Community Fundraisers and Field Trips)

Cobb County School District Blanket Permission to Participate (Walton High School Habitat for Humanity Community Fundraisers and Field Trips) Local Trips Cobb County School District Blanket Permission to Participate (Walton High School Habitat for Humanity Community Fundraisers and Field Trips) CONSENT I hereby consent for (student s name) to

More information

Global Space Balloon Challenge Terms and Conditions ARTICLE I - PARTICIPANT AGREEMENT

Global Space Balloon Challenge Terms and Conditions ARTICLE I - PARTICIPANT AGREEMENT Global Space Balloon Challenge Terms and Conditions ARTICLE I - PARTICIPANT AGREEMENT 1.1 Acceptance of Terms. Registering for this challenge constitutes entering into a legal agreement (the Agreement

More information

ARTIST MANAGEMENT AGREEMENT

ARTIST MANAGEMENT AGREEMENT ARTIST MANAGEMENT AGREEMENT AGREEMENT made this day of, 20 by and between (Artist) whose address is (hereinafter referred to as Artist and (Manager) whose address is, (hereinafter referred to as Manager

More information

Street hockey is a dry land variation of ice hockey that can be played all year-round.

Street hockey is a dry land variation of ice hockey that can be played all year-round. Greetings from the Nashville Predators! We are thrilled to introduce you to an exciting grassroots program from the National Hockey League and Nashville Predators. The NHL has organized a league-wide street

More information

WHEREAS, Participants desire to participate in ALL the recreational activities available at the Trampoline Park; and

WHEREAS, 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 information

BUSINESS CREDIT APPLICATION

BUSINESS CREDIT APPLICATION BUSINESS CREDIT APPLICATION 1. Legal Name of Applicant: 2. Trade Name (d/b/a) if Applicable: E.I.N.: 3. Type of Bus. Years in Business: 4. Website: www. General 5. Has Applicant Changed its Name or Advertised

More information

Long Island IVF Terms and Conditions of Use

Long Island IVF Terms and Conditions of Use Long Island IVF Terms and Conditions of Use BY USING THIS WEBSITE, YOU AGREE TO THE FOLLOWING TERMS AND CONDITIONS. PLEASE READ THE FOLLOWING CAREFULLY. IF YOU DO NOT AGREE WITH THE FOLLOWING, YOU SHOULD

More information

2015 Tournament Entry Form

2015 Tournament Entry Form Mississippi MS HIGH SCHOOL BASS NATION 2015 Tournament Entry Form ONE FORM PER TEAM Angler #1 Name: Event Location: Angler #2 Name: School Club Name: Team Advisor Name: Ph# Address: City: State: Zip Code:

More information

AIRCRAFT RENTAL AGREEMENT

AIRCRAFT 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 information

FACILITIES USE AGREEMENT

FACILITIES 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 information

Building a Healthier Sulphur Springs 2015 Application Package

Building a Healthier Sulphur Springs 2015 Application Package Building a Healthier Sulphur Springs 2015 Application Package Dear Applicant: Thank you for your interest in Rebuilding Together Tampa Bay s Building a Healthier Sulphur Springs Program. Rebuilding Together

More information

RELEASE OF LIABILITY, INDEMNITY, AND BACKGROUND CHECK AUTHORIZATION AGREEMENT

RELEASE 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 information

AGREEMENT FOR WEB DESIGN & DEVELOPMENT

AGREEMENT FOR WEB DESIGN & DEVELOPMENT AGREEMENT FOR WEB DESIGN & DEVELOPMENT 1. Authorization. The Client,, authorizes GeekArtist Web Solutions, LLC at 4314 Princeton Drive, Garland, TX 75042 (herein referred to as the The Company ) to develop

More information

Terms of Use. Please read these terms and conditions before using this Site. By continuing to use this Site, you agree to the Terms of Use.

Terms of Use. Please read these terms and conditions before using this Site. By continuing to use this Site, you agree to the Terms of Use. Terms of Use Please read these terms and conditions before using this Site. By continuing to use this Site, you agree to the Terms of Use. 1. INTRODUCTION Welcome to www.flowerbuyer.com (the Site ). Flowerbuyer.com

More information

Covered California. Terms and Conditions of Use

Covered California. Terms and Conditions of Use Terms and Conditions of Use Contents: Purpose Of This Agreement Privacy Policy Modification Of This Agreement Permission To Act On Your Behalf How We Identify You Registration Additional Terms For Products

More information

NPSA GENERAL PROVISIONS

NPSA 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 information

Acceptance of Terms. Terms of Service. Privacy Policy. Terms Applicable to All Products and Services. Last Updated: January 24, 2014

Acceptance of Terms. Terms of Service. Privacy Policy. Terms Applicable to All Products and Services. Last Updated: January 24, 2014 Acceptance of Terms Last Updated: January 24, 2014 Terms of Service Please read this Terms of Service Agreement carefully. MedicaidInsuranceBenefits.com ("MedicaidInsuranceBenefits.com," "our," "us") provides

More information

Consulting Master Services Agreement

Consulting Master Services Agreement Consulting Master Services Agreement THIS CONSULTING AGREEMENT (this Agreement ), made and entered into this 21st day of June, 2002, by and between PrimeContractor, a StateName EntityType, its successors

More information

General Policy - Off-Campus Travel of Student Groups

General Policy - Off-Campus Travel of Student Groups General Policy - Off-Campus Travel of Student Groups Policy: All off-campus travel to an activity or event involving students shall be conducted in accordance with the State Board of Higher Education (SBHE)

More information

FOREXer Advisory ADVISORY AGREEMENT. Last update of this DisclosureDocument is Aug 1 st, 2013.

FOREXer Advisory ADVISORY AGREEMENT. Last update of this DisclosureDocument is Aug 1 st, 2013. FOREXer Advisory ADVISORY AGREEMENT Last update of this DisclosureDocument is Aug 1 st, 2013. TRADING ADVISORY AGREEMENT This Trading Advisory Agreement (the Agreement ) is entered into as of the Date:-------------------by

More information

Section C: Data Use Agreement. Illinois Department of Healthcare and Family Services. And DATA USE AGREEMENT

Section C: Data Use Agreement. Illinois Department of Healthcare and Family Services. And DATA USE AGREEMENT Section C: Data Use Agreement Illinois Department of Healthcare and Family Services And DATA USE AGREEMENT This Data Use Agreement (the Agreement ) is effective as of (the Agreement Effective Date ) by

More information

Please type or print. Name: Last First Middle. Program: For Participants in State University of New York Administered Overseas Academic Activities

Please type or print. Name: Last First Middle. Program: For Participants in State University of New York Administered Overseas Academic Activities AGREEMENT AND RELEASE FOR STUDY ABROAD STATE UNIVERSITY OF NEW YORK Overseas Academic Programs Please type or print. Name: Last First Middle Program: Location Abroad Term Abroad For Participants in State

More information

Independent Contractor Agreement. Name of Contractor: Address: Social Security or Tax I.D. Number:

Independent 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 information

Presents "SO YA WANNA BE A BROADWAY STAR"

Presents SO YA WANNA BE A BROADWAY STAR Presents "SO YA WANNA BE A BROADWAY STAR" When: Where: October 24 th, Saturday 10am-2pm Fairfield Theatre Company (FTC) 70 Sanford Street, Fairfield, CT Application Fee: $40 for applications received before

More information

Advertiser: Vehicle Description: License Plate Number: Term: Monthly Payment Amount: Initial Payment Amount: WRAPMATCH AGREEMENT

Advertiser: Vehicle Description: License Plate Number: Term: Monthly Payment Amount: Initial Payment Amount: WRAPMATCH AGREEMENT Advertiser: Vehicle Description: License Plate Number: Term: Monthly Payment Amount: Initial Payment Amount: WRAPMATCH AGREEMENT THIS WRAPMATCH AGREEMENT (the Agreement ), is made and entered into effective

More information

RADIO ONE RALEIGH UNITY IN THE COMMUNITY DAY 2015 Contestant Application

RADIO ONE RALEIGH UNITY IN THE COMMUNITY DAY 2015 Contestant Application RADIO ONE RALEIGH UNITY IN THE COMMUNITY DAY 2015 Contestant Application Please read the Eligibility Requirements before completing this application. Contact Information: Name (contact for group act):

More information

If a Client and a Freelancer enter an independent contractor relationship, then this Freelancer Agreement ( Freelancer Agreement ) will apply.

If a Client and a Freelancer enter an independent contractor relationship, then this Freelancer Agreement ( Freelancer Agreement ) will apply. Freelancer Agreement If a Client and a Freelancer enter an independent contractor relationship, then this Freelancer Agreement ( Freelancer Agreement ) will apply. This Agreement is effective as of March

More information

NORTH CAROLINA STATE UNIVERSITY AGREEMENT

NORTH CAROLINA STATE UNIVERSITY AGREEMENT STATE OF NORTH CAROLINA Rev. 11/12 WAKE COUNTY NORTH CAROLINA STATE UNIVERSITY AGREEMENT THIS AGREEMENT ( Agreement ) made and entered into this day of 20, by and between ( Contractor ), and North Carolina

More information

Terms of Service. 1. Acceptance Of Terms. 2. Use Of Customer Information And Privacy Policy. 3. Ownership Of Site Content

Terms of Service. 1. Acceptance Of Terms. 2. Use Of Customer Information And Privacy Policy. 3. Ownership Of Site Content Terms of Service 1. Acceptance Of Terms IT4Professionals is an Internet-based Web site that offers webdesign, domain name registration, hosting, dynamic DNS, email and sms marketing, PC services and software

More information

WHEREAS, the parties were married on *DATE*. There are no children born to the marriage at the present time; and

WHEREAS, the parties were married on *DATE*. There are no children born to the marriage at the present time; and STATE OF NORTH CAROLINA ) ) COUNTY OF MECKLENBURG ) POSTNUPTIAL AGREEMENT THIS POSTNUPTIAL AGREEMENT ( Agreement ), is made this day of, 20, between *MAN*, a resident and domiciliary of Mecklenburg County,

More information

Download an Cisco UCS(Unified Computing System) Server Kit and stand a chance to win Shopping Vouchers worth THB300!

Download an Cisco UCS(Unified Computing System) Server Kit and stand a chance to win Shopping Vouchers worth THB300! TERMS AND CONDITIONS/OFFICIAL RULES Download an Cisco UCS(Unified Computing System) Server Kit and stand a chance to win Shopping Vouchers worth THB300! NO PURCHASE NECESSARY TO ENTER OR WIN. INTERNET

More information

Exhibit H - Agreement Between the Company and the Company s Retail Customer

Exhibit H - Agreement Between the Company and the Company s Retail Customer Exhibit H - Agreement Between the Company and the Company s Retail Customer (Note: this Agreement is to be signed by the Company s retail Customer where the distributed generation installation and interconnection

More information

TERMS AND CONDITIONS

TERMS AND CONDITIONS TERMS AND CONDITIONS These Terms and Conditions are applicable to the use of this website (the Website ), regardless of how You accessed it. You or any derivation thereof, as used herein refers to a user

More information

RELOCATEYOURSELF.COM B.V - TERMS OF USE OF SERVICES

RELOCATEYOURSELF.COM B.V - TERMS OF USE OF SERVICES RELOCATEYOURSELF.COM B.V - TERMS OF USE OF SERVICES The following constitute the terms and conditions of access and use of the Services, as defined hereunder, which shall be deemed to have been read and

More information

Hornets Youth Enrichment Summer Program 1200 North DuPont Highway Dover, Delaware 19901 Telephone: 302-857-6824 Fax: 302-857-6823

Hornets Youth Enrichment Summer Program 1200 North DuPont Highway Dover, Delaware 19901 Telephone: 302-857-6824 Fax: 302-857-6823 Hornets Youth Enrichment Summer Program 1200 North DuPont Highway Dover, Delaware 19901 Telephone: 302-857-6824 Fax: 302-857-6823 Participant Last Name: Participant First Name: Grade: Age: Gender: Male

More information

TRAVELING PHOTOGRAPHY WORKSHOP APPLICATION

TRAVELING PHOTOGRAPHY WORKSHOP APPLICATION Wide Angle Youth Media Presents: TRAVELING PHOTOGRAPHY WORKSHOP APPLICATION WHAT? A free, 4-hour workshop where students will... WHO? WHERE? WHEN? Learn photography skills Take creative self portraits

More information

Student Board of Directors Application Packet

Student Board of Directors Application Packet Dear Student, Thank you for your interest in participating in the Student Board of Directors Program at the Federal Reserve Bank of Kansas City, Denver Branch. Please complete this application packet,

More information

LOCATION AGREEMENT. Location Agreement Page 1 of 5

LOCATION AGREEMENT. Location Agreement Page 1 of 5 LOCATION AGREEMENT The undersigned grants to ( Producer ) its successors and assigns, the right and license to enter upon, to make photographs (stills, film, tape or otherwise) and use for so-called location

More information

PHOTOGRAPH LICENSE BETWEEN YOU AND DEATH TO THE STOCK PHOTO

PHOTOGRAPH LICENSE BETWEEN YOU AND DEATH TO THE STOCK PHOTO PHOTOGRAPH LICENSE BETWEEN YOU AND DEATH TO THE STOCK PHOTO The Photograph (defined below) is provided to you ( you or Licensee ) by DTTSP LLC, an Ohio limited-liability company doing business as Death

More information

WAIVER, RELEASE AND INDEMNIFICATION AGREEMENT

WAIVER, RELEASE AND INDEMNIFICATION AGREEMENT WAIVER, RELEASE AND INDEMNIFICATION AGREEMENT I am a student at Central Lakes College and have agreed to participate in the current student activity trip. My participation is wholly voluntary. In consideration

More information

Services Agreement between Client and Provider

Services Agreement between Client and Provider Services Agreement between Client and Provider This Services Agreement is part of the Member Contract between Client and Provider, effective upon Client s award and Provider s acceptance of a Job on the

More information

Compass Road to College Summer Tour Application

Compass Road to College Summer Tour Application Compass Road to College Summer Tour Application Student Information Name: Email Address: Sex: F M Birth Date: Primary Language Spoken at Home: English Spanish Other: Current School: School You ll be Attending

More information

Privacy Policy and Terms of Use

Privacy Policy and Terms of Use Privacy Policy and Terms of Use Pencils of Promise, Inc. ( PoP, we, us or our ) shares your concern about the protection of your personal information online. This Privacy Policy and Terms of Use ( Policy

More information

Pan-American Life Insurance Company Producer Agreement

Pan-American Life Insurance Company Producer Agreement Pan-American Life Insurance Company Producer Agreement This AGREEMENT is, as applicable, by and between Pan-American Life Insurance Company with offices located at 1778 North Plano Road, Suite 310, Richardson,

More information

Agreement. Whereas, ThinkGeek is interested in creating products based on the Idea.

Agreement. Whereas, ThinkGeek is interested in creating products based on the Idea. Agreement This Agreement is entered into as of ( Effective Date ) by and between ( Inventor ), [ADDRESS] and ThinkGeek, Inc., a Delaware corporation with an office at 11216 Waples Mill Rd., Suite 100,

More information

COMMUNITY POWERED REVITALIZATION PROGRAM APPLICATION PACKET

COMMUNITY POWERED REVITALIZATION PROGRAM APPLICATION PACKET COMMUNITY POWERED REVITALIZATION PROGRAM APPLICATION PACKET PLEASE MAIL OR DELIVER THE COMPLETED PACKET IN ITS ENTIRETY TO: MELISSA THOMAS AT 201 NORTH ECTOR DRIVE, EULESS, TEXAS 76039. WHAT IS THE COMMUNITY

More information

Opensignage Authors License Agreement for Content

Opensignage Authors License Agreement for Content Opensignage Authors License Agreement for Content By using our Opensignage software as an author, you are acknowledging that you have read, understand and accept the terms and conditions set forth herein

More information

LAND TRUST AGREEMENT

LAND TRUST AGREEMENT LAND TRUST AGREEMENT THIS LAND TRUST AGREEMENT is made this day of 20, by and between, Grantor and Beneficiary, (hereinafter referred to as the "Beneficiaries", whether one or more), and, TRUSTEE of the

More information

MY BRPSKI-DOO IDEA TERMS AND CONDITIONS OF USE

MY BRPSKI-DOO IDEA TERMS AND CONDITIONS OF USE MY BRPSKI-DOO IDEA TERMS AND CONDITIONS OF USE Bombardier Recreational Products Inc. ( BRP ) owns and operates the Internet site located at http://www.skidoo.com and blog on myskidooride.com and idea mail

More information

Cyber Defenders Summer Camp Application Form Instructions

Cyber Defenders Summer Camp Application Form Instructions Cyber Defenders Summer Camp Application Form Instructions The Cyber Defenders Summer Camp is put on by the San Antonio College Computer Information Systems Department. It will be an overview of material

More information

TERMS OF USE & GENERAL PRIVACY POLICY

TERMS OF USE & GENERAL PRIVACY POLICY TERMS OF USE & GENERAL PRIVACY POLICY BETWEEN: MEDICAL ANSWERING SERVICES, LLC AND COMPANY NAME Medical Answering Services, LLC values your trust and our relationships with our clientele - so we take great

More information

TEXAS A&M UNIVERSITY-COMMERCE WAIVER PACKET

TEXAS 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 information

Copyright 2006. Sagicor Life Insurance Company. All rights reserved.

Copyright 2006. Sagicor Life Insurance Company. All rights reserved. Terms & Conditions Welcome to Sagicor Life Insurance Company ( Sagicor ). Sagicor maintains this website for your personal information, education and communication. Your access to and use of this website

More information

BUSINESS ASSOCIATE AGREEMENT

BUSINESS ASSOCIATE AGREEMENT BUSINESS ASSOCIATE AGREEMENT Express Scripts, Inc. and one or more of its subsidiaries ( ESI ), and Sponsor or one of its affiliates ( Sponsor ), are parties to an agreement ( PBM Agreement ) whereby ESI

More information

AGREEMENT FOR CONSULTING SERVICES EXECUTIVE IN RESIDENCE PROGRAM CCIT. JERSEY ECONOMIC DEVELOPMENT AUTHORITY (the "Authority or NJEDA"), having its

AGREEMENT FOR CONSULTING SERVICES EXECUTIVE IN RESIDENCE PROGRAM CCIT. JERSEY ECONOMIC DEVELOPMENT AUTHORITY (the Authority or NJEDA), having its AGREEMENT FOR CONSULTING SERVICES EXECUTIVE IN RESIDENCE PROGRAM CCIT AGREEMENT made this day of, 2015, by and between the NEW JERSEY ECONOMIC DEVELOPMENT AUTHORITY (the "Authority or NJEDA"), having its

More information