PARTICIPANT ACKNOWLEDGEMENT/AGREEMENT Clause Samples

PARTICIPANT ACKNOWLEDGEMENT/AGREEMENT. Participants MUST agree to and confirm the following to continue in the program. Please initial SECTION 1: NAME
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PARTICIPANT ACKNOWLEDGEMENT/AGREEMENT. Participants MUST agree to and confirm the following to continue in the program. Please initial ATTENTION: Providing any false or misleading information on this document is a crime punishable by a $1,000 fine and/or imprisonment in state prison for up to three years. (1) Print Full Current Legal Name: (Current legal name of participant whose name will be changed) (2) Participant/Parent Current Legal Signature: (Participant/Parent signature) (Sign your current legal name) (3) Safe at Home ID Number: (4) Today’s Date: (5) Print Proposed New Name of participant whose name will be changed: First Name: Middle Name: Last Name: (6) Sign Proposed New Name (Adult Participants Only): (Participant signature) (Sign your proposed new name) (7) County where petition will be filed:
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Related to PARTICIPANT ACKNOWLEDGEMENT/AGREEMENT

  • Participant Acknowledgment The Participant hereby acknowledges receipt of a copy of the Plan. The Participant hereby acknowledges that all decisions, determinations and interpretations of the Committee in respect of the Plan, this Agreement and the Restricted Stock shall be final and conclusive.

  • Plan Document Acknowledgement By accepting the RSUs, the Participant acknowledges that he or she has received a copy of the Plan and the Agreement, including this Appendix, which the Participant has reviewed. The Participant acknowledges further that he or she accepts all the provisions of the Plan and the Agreement, including this Appendix. The Participant also acknowledges that he or she has read and specifically and expressly approves the terms and conditions set forth in Section 20 (“Nature of Grant”) in the Agreement, which clearly provides as follows:

  • Mutual Acknowledgement Both the Company and Indemnitee acknowledge that in certain instances, Federal law or applicable public policy may prohibit the Company from indemnifying its directors and officers under this Agreement or otherwise. Indemnitee understands and acknowledges that the Company has undertaken or may be required in the future to undertake with the Securities and Exchange Commission to submit the question of indemnification to a court in certain circumstances for a determination of the Company's right under public policy to indemnify Indemnitee.

  • Risk Acknowledgement The Sub-Adviser makes no representation or warranty, express or implied, that any level of performance or investment results will be achieved by the Fund, whether on a relative or absolute basis. The Adviser understands that investment decisions made for the Fund by the Sub-Adviser are subject to various market, currency, economic, political, business and structure risks and that those investment decisions will not always be profitable.

  • Dissemination of Research Findings and Acknowledgement of Controlled-Access Datasets Subject to the NIH GDS Policy