Mansions West Resale Application Check List
|
|
- Charlene Woods
- 5 years ago
- Views:
Transcription
1 Mansions West Resale Application Check List Date of Application: Closing Date: Property Agent Phone Number: Check List Needed for Resale Master Association Check - $ Made payable to "Evergrene Master Association, Inc." Resident Registration Form Resale Application Affidavit of Receipt of HOA Documents (Notarized) Pet Registration Form Veterinarian Certification Consent, Waiver, Release and Indemnification Agreement Copy of Sale Contract Closing Capital Contribution for both Master & COA (1 Quarter of Annual Assessment collected at closing) ***After closing bring a copy of Warranty Deed and Settlement (HUD) Statement to Clubhouse to receive barcode access and club ID s. Notes: Page 1 of 9
2 Evergrene Property Applicant 1 First and Last Applicant 2 First and Last Telephone Number: Cell Phone Number: Resident Registration Form EVERGRENE MASTER ASSOCIATION, INC. By submitting your address to be the primary source of communication. You are authorizing all correspondences and meeting notices associated with Evergrene to be sent to this address. This information will not be used for any other purpose Other Residents: Please list anyone living with you. This would include all family members. First Name Last Name Date of Birth Phone Number Relation Vehicle Information Make / Model Year Color Tag Number State Please list family members and guests you wish to allow permanent access to your property without prior notice. Your guests must present proper identification. If your guest is not on the permanent list, the Gate will call you for permission to allow this guest entry. PERMANENT GUESTS PERMANENT GUESTS Page 2 of 9
3 RESALE APPLICATION 650 Evergrene Parkway, Palm Beach Gardens, FL PHONE: FAX: Date: APPLICANT(S) INFORMATION: If unrelated, please provide for each applicant. Applicant #1: Telephone # s: Social Security #: Date of Birth: Applicant #2: Telephone # s: Social Security #: Date of Birth: Please name all Occupants Relationship to Lessee LICENSED DRIVERS: To be residing in the community License #: State: License #: State: License #: State: License #: State: Page 3 of 9
4 PERSONAL REFERENCES: (Do not list relatives) Phone: Phone: RESIDENCE HISTORY: If less than 5 years, provide previous residence information on separate sheet City: State: Zip: City: State: Zip: City: State: Zip: WORK HISTORY: Applicants 1 and 2. If less than 5 years, provide previous employer information. Employer: Applicant 1 Applicant 2 Phone: Position: Employment Dates: EMERGENCY CONTACT INFORMATION: SECURITY BACKGROUND I UNDERSTAND A NATIONWIDE LAW ENFORCEMENT INVESTIGATION IS REQUIRED AND WILL BE DONE. Have you (or other applicant) ever been convicted of a state or federal offense? Yes No Have you (or other applicant) ever been convicted of a felony in the past 7 years? Yes No Are you (or other applicant) presently awaiting trial on any criminal offense? Yes No IF YES TO ANY OF THE ABOVE, GIVE APPLICANT S NAME, DATES, NAME OF COURT AND DETAILS OF CONVICTION ON A SEPARATE SHEET AND ATTACH. ============================================================================================= Page 4 of 9
5 ACKNOWLEDGEMENT BY APPLICANT(S) By signing below, I/We hereby certify: 1. That I/We agree on behalf of all persons who may use the unit, which I seek to lease and myself, that I/We will abide by all the Restrictions in the By-Laws, Rules and Regulations, and Association Documents. 2. That I/We agree that all of the information contained in the application is true and complete and that any False or Misleading information given in this application constitutes grounds for rejection of this application and revocation of my right to reside on this property. 3. That I/We give my/our permission for a Nationwide Law Enforcement Background investigation and credit history verification. 4. That no persons other than those shown on this application will reside in the unit and I/We agree that anyone moving into the unit at a later date will be registered with the Association and a background investigation done at the applicant s expense. 5. I/we acknowledge that I/we have received, read, understand and agree to abide by the Documents and the Rules & Regulations. Signature of Applicant 1: Signature of Applicant 2: Signature of Witness: Date: Date: Date: Page 5 of 9
6 EVERGRENE MASTER ASSOCIATION, INC. Affidavit of Receipt of Association Documents (All documents are available on our community website, This is to certify that I, intend to purchase and that accordingly, I have received the Master Declaration of Covenants, Conditions and Restrictions and the Rules and Regulations for Evergrene Master Association, Inc. This is certified to be so by: Owners Signature STATE OF FLORIDA COUNTY OF PALM BEACH The foregoing instrument was acknowledged before me the day of, 20 by who is personally known to me or who produced as identification and who did (not) take an oath. My Commission Expires: Notary Public State of Florida at Large Page 6 of 9
7 PET REGISTRATION FORM I do not own a pet Signature: Owner Information Phone: Pet Information Type of Pet Breed Color Weight Name 1. Rabies Certification Number: Is the pet micro chipped? Yes No Micro Chip # Required Certification from Veterinarian verifying pet weight and vaccines Type of Pet Breed Color Weight Name 2. Rabies Certification Number: Is the pet micro chipped? Yes No Micro Chip # Required Certification from Veterinarian verifying pet weight and vaccines Type of Pet Breed Color Weight Name 3. Rabies Certification Number: Is the pet micro chipped? Yes No Micro Chip # Required Certification from Veterinarian verifying pet weight and vaccines Page 7 of 9
8 CONSENT, WAIVER, RELEASE, AND INDEMNIFICATION AGREEMENT FOR USE OF THE CLUB AT EVERGRENE FACILITIES (hereinafter referred to as the Undersigned ) Over Age 18: Yes No The Undersigned, as a condition to entering and/or using the Club Facilities of the Club at Evergrene (the Club ), understands and agrees to the terms herein and makes the following Representations and Warranties: (i) the Club Facilities include the Club building, parking areas around the Club, Fitness Center and lockers, pools and pool decks ( Club Facilities ); (ii) the Club is not responsible for any loss or damage to any private property of any kind whatsoever, used or stored in the Club Facilities, including but not limited to all risk of loss respecting motor vehicles, bicycles, equipment, jewelry or other possessions; (iii) the use of any apparatus, appliance, swimming pool, facility, privilege or service whatsoever owned, leased or operated by the Club, or participation in any contest, game, function, exercise, competition or other activity operated, organized, arranged or sponsored by the Club, either on or off the Club Facilities, is at the sole risk of the Undersigned and the Club is not responsible for and is released from any and all action, injuries, claims, losses, liabilities, damages, costs and expenses of any kind or nature whatsoever respecting any personal injury or death occurring at the Club or respecting Club Facilities; (iv) there may be no adult supervision and there are no lifeguards on duty at the swimming pool; (v) the Undersigned has consulted with a physician regarding any health implications to the Undersigned as a result of use of the Fitness Center and the Undersigned has been advised by said physician that s/he is physically well enough to use the Fitness Center; (vi) the Undersigned shall be solely responsible for the supervision of any minors admitted into the Club Facilities accompanying the Undersigned, and shall be responsible to the Club for any damage caused by such minors; and (vii) failure to pay Association Dues and/or to abide by the Evergrene Master Association Rules and Regulations may result in suspension of the Undersigned s right to use the Club Facilities. Page 8 of 9
9 The Undersigned does hereby unconditionally, fully, and completely release the Club at Evergrene, Evergrene Master Association, Inc., and all sub-associations (the Released Parties ), and all of the current, previous, and future officers, directors, attorneys, agents, employees, and servants of any of the Released Parties, and also including any and all persons or entities who might have or claim to have rights of recourse or claims for indemnity or contribution against any of the Released Parties, from all and every manner of causes of action, claims, suits, controversies, liabilities, trespasses, damages, judgments, executions, and demands whatsoever, whether in law or in equity, whether civil, legal, ethical, moral, or otherwise, which the Undersigned has, can, shall, or may have in the future, both known and unknown, against any person or entity comprising the Released Parties for, upon, or by reason of any matter, cause, or thing whatsoever respecting or resulting from the use of the Club Facilities by the Undersigned including but not limited to the negligent acts or omissions of any of the Released Parties or any other person using the Facilities, and specifically including but not being limited to claims or liabilities arising from the death of or personal injury to the undersigned, all of which are waived. The Undersigned shall hold the Released Parties harmless and indemnify the Released Parties from all loss, liability, claims, and expense, including reasonable attorneys and paraprofessional fees, costs, expenses not otherwise taxable as costs, and accountants and other experts fees, whether or not taxable under applicable court rules, incurred in the defense of any such claim (whether in a court of original jurisdiction or one or more courts of appellate or other jurisdiction), made by or asserted by the Undersigned, or any person who may acquire subrogation rights respecting any claim by the Undersigned, including but not limited to any insurer, and/or arising out of the failure of the Representations and Warranties to be true at any time that the Undersigned uses the Club Facilities. The Undersigned acknowledges that the Club at Evergrene would not have accepted this Consent or permitted the Undersigned to use the Club Facilities without the Undersigned agreeing to the Representations and Warranties and the warranties and indemnities provided in this Consent. Dated this day of, 20. Signature: Printed Signature: Printed Page 9 of 9
Mansions East Resale Application Check List
Mansions East Resale Application Check List Date of Application: Closing Date: Property Agent Name: Phone Number: Check List Needed for Resale Master Association Check - $200.00 Made payable to "Evergrene
More informationCITY OF PALM COAST YOUTH PARKS & RECREATION DEPARTMENT ADULT REGISTRATION FORM SENIOR
CITY OF PALM COAST YOUTH PARKS & RECREATION DEPARTMENT ADULT REGISTRATION FORM SENIOR Please print clearly. Completion of the registration process is required for each participant prior to program start
More informationAPPLICATION TO PURCHASE AND APPLICATION FOR RESIDENCY. CYPRESS BEND CONDOMINIUM IV ASSOCIATION, Inc.
APPLICATION TO PURCHASE AND APPLICATION FOR RESIDENCY CYPRESS BEND CONDOMINIUM IV ASSOCIATION, Inc. Building 10 2108 S Cypress Bend Drive Building 11 2106 S Cypress Bend Drive Building 12 2104 S Cypress
More informationBOTANICA LAKES HOMEOWNERS ASSOCIATION, INC C/O RESORT MANAGEMENT KENWOOD LANE #211 FORT MYERS, FL, 33907
HOMEOWNERS ASSOCIATION, INC C/O RESORT MANAGEMENT 12811 KENWOOD LANE #211 FORT MYERS, FL, 33907 NEW RESIDENTS REQUIREMENTS COMPLETED ASSOCIATION REQUIREMENTS FORM COMPLETED GATE HOUSE SECURITY INFORMATION
More informationSHORT-TERM MISSIONS APPLICATION
GENERAL INFORMATION Date Last Name First Name Middle Name Please print your name clearly EXACTLY AS IT APPEARS ON YOUR PASSPORT Present address: City State Zip DOB / / Age Gender: M F Grade Email Home
More informationOCCUPANT(S) (ADD ON) APPLICATION
OCCUPANT(S) (ADD ON) APPLICATION Please return completed package to Signature Property Management for processing. A complete package includes: An application A non-refundable processing fee of $125.00
More informationNON-COMPETITION AGREEMENT
NON-COMPETITION AGREEMENT During the term of this Agreement, the Employee shall not directly or indirectly, either as an employee, employer, consultant, agent, principal, partner, stockholder, corporate
More informationBROOKSVILLE GOLF & COUNTRY CLUB APPLICATION FOR MEMBERSHIP
BROOKSVILLE GOLF & COUNTRY CLUB APPLICATION FOR MEMBERSHIP Welcome to Brooksville Golf & Country Club (BGCC). Please complete the following application and member information form as thoroughly as possible.
More information815 West Joppa Road Towson, MD Phone: STAFF APPLICATION. Name: Permanent Address:
Water Safety Consulting & Pool Management, LLC 815 West Joppa Road Towson, MD 21204 Phone: 410-213-5151 Email: watersafetyconsulting@yahoo.com STAFF APPLICATION Name: Permanent Address: City: State: Zip:
More informationCITY OF SARATOGA SPRINGS PROCEDURES FOR EQUINE-DRAWN CARRIAGE OWNER LICENSE
CITY OF SARATOGA SPRINGS PROCEDURES FOR EQUINE-DRAWN CARRIAGE OWNER LICENSE 1. Applicant must complete owner s application and receive a copy of the ordinance. 2. The applicant must supply the following
More informationTown of Fort Myers Beach Public Works Department Application
COST IS $6.00 PER SQUARE FOOT FOR THE 2015-2016 FISCAL YEAR. REVIEW STANDARDS: 3. The following standards are applicable only to Sidewalk Cafes: A. A sidewalk café permit issued expires annually on September
More informationSpecial Event Application
Planning Division Development Services Department Special Event Application CITY OF OVIEDO 400 Alexandria Boulevard Oviedo, Florida 32765 Phone: (407) 971-5775 Fax: (407)971-5819 Application No. Date Received
More informationSIDEWALK CAFÉ APPLICATION
SIDEWALK CAFÉ APPLICATION Application No. All applications are to be filled out completely and correctly. The application shall be submitted in person (no fax or deliveries) to the City of St. Petersburg
More informationPARTY REQUEST FORM. If the actual number of guests exceeds the estimated party size, fees will be deducted from the security deposit.
PARTY REQUEST FORM Harbor Beach Surf Club (hereinafter HBSC ) is a non-profit organization with the primary purpose of providing its members a private and tranquil beach experience. Although, the leasing
More informationApplication for Membership
Application for Membership The undersigned hereby applies for membership in THE HOUSTONIAN CLUB (the Club ), owned and operated by Houstonian Campus, LLC ( Owner ). Prior to acceptance for membership,
More informationTHE PALMS AT ATLANTIS HOA, INC. C/O CMC Management, Inc Jog Road Greenacres, FL ~ Fax
THE PALMS AT ATLANTIS HOA, INC. C/O CMC Management, Inc. 2950 Jog Road Greenacres, FL 33467 561-641-1016 ~ 561-641-9118 Fax APPLICATION FOR OCCUPANCY *(Please check one) Application for PURCHASE or RENTAL
More informationCan-Am X-Team Racer Support Program Application Form PLEASE PRINT CLEARLY. INCOMPLETE OR ILLEGIBLE FORMS WILL DELAY PROCESSING.
Supporting Dealer Identification BRP Dealer # : Dealership Name : Dealership Fax Number : Dealer Contact : Email : Phone number : Racer Identification You must have had some racing experience in the past
More informationOgden Cycle Association Membership Agreement
Date: Ogden Cycle Association Membership Agreement Membership Type: (mark all that apply) Single Family Non-Wor king Charter Life Cash / Check # Amount Paid $ Receipt # New Member / Annual Renewal I agree
More informationSCCA Rally/Solo Release and Waiver Guidelines
RISK MANAGEMENT I. Introduction SCCA Rally/Solo Release and Waiver Guidelines These guidelines are intended to provide basic information regarding release and waiver procedures for ALL non-club or SCCA
More informationO*H*I*O MASTERS SWIM CLUB (Old Hearts Inspiring Others) CLEVELAND - WEST SIDE Swim Workouts WINTER, 2017
O*H*I*O MASTERS SWIM CLUB (Old Hearts Inspiring Others) CLEVELAND - WEST SIDE Swim Workouts WINTER, 2017 COACHED WORKOUTS for WINTER 2017 - We offer workouts overseen by experienced coaches. All adult
More informationSt. Augustine Amphitheatre Farmer s Market. Vendor Application Instructions
St. Augustine Amphitheatre Farmer s Market Vendor Application Instructions To be considered for participation in the St. Augustine Amphitheatre Farmer s Market, please submit: - Completed and signed Vendor
More informationMEMBERSHIP AGREEMENT
MEMBERSHIP AGREEMENT Applicant understands and agrees that the General Terms and Conditions of Membership are a part of this agreement. Enrollment Date: Member Name: Initiation Fees: Club Name: Membership
More informationEmployment Application
Drug and Alcohol Testing Required Office use only: Location Solicited Y N Employment Application SOCIAL SECURITY No. DATE OF BIRTH / / (Birth year only required for driving jobs. PER DOT 391.21-2) NAME
More informationAmes Fire Department Standard Operating Guidelines
Standard Operating Guidelines Book: 2 Routine Operations Section: IV Public Education Chapter: 1 Observer Program Date Approved: 05-21-2013 Revision No.: New Approved by: Review Date: 2016 PURPOSE: The
More informationResident Application
ROYAL PALM Resident Application 1. Primary Applicant Applying for homesite # Secondary Applicant Date Street City State Zip Code Birth Date: Social Security #: Drivers License #: Marital Status: How Long
More informationThe Harbor Apartments
The Harbor Apartments ***RESIDENT SELECTION POLICY*** WE DO BUSINESS IN ACCORDANCE WITH THE FEDERAL FAIR HOUSING LAW. A non-refundable application fee of $50.00 is required It is illegal to discriminate
More informationFINANCIAL CASUALTY & SURETY, INC
FINANCIAL CASUALTY & SURETY, INC The Bail Insurance Company 3131 Eastside St. Suite 600 Houston, Texas 77098 P.O. Box 4479 Houston, Texas 77210-4479 Toll Free: 877.737.2245 Fax: 713. 580.6401 fcs APPLICATION
More informationSPECIAL PARK MOBILE FOOD DISPENSING PERMIT City of Hollywood Special Events and / or Parks $75 /6 month permit $125 / 1 year permit
Today s Date SECTION 1 Application for (Please check one) SPECIAL PARK MOBILE FOOD DISPENSING PERMIT City of Hollywood Special Events and / or Parks $75 /6 month permit $125 / 1 year permit MOBILE FOOD
More informationRed Fox Realty, Inc.
PROPERTY MANAGEMENT RESIDENT SELECTION CRITERIA 1. All Adult applicants 18 or older must submit a fully completed, dated and signed residency application and fee. Applicant must provide proof of identity.
More informationCITY OF SARATOGA SPRINGS PROCEDURES FOR MOTORIZED SPECIAL LIVERY VEHICLE OWNER LICENSE
CITY OF SARATOGA SPRINGS PROCEDURES FOR MOTORIZED SPECIAL LIVERY VEHICLE OWNER LICENSE 1. Applicant must complete owner s application and receive a copy of the ordinance. 2. The applicant must supply the
More informationPURCHASE ASSISTANCE PROGRAM COMMUNITY DEVELOPMENT DEPARTMENT
PURCHASE ASSISTANCE PROGRAM COMMUNITY DEVELOPMENT DEPARTMENT CITY OF NORTH LAUDERDALE 701 SW 71 AVENUE NORTH LAUDERDALE, FLORIDA 33068 If you have not owned a home in the past three years and are interested
More informationAPPLICATION FOR PART TIME EMPLOYMENT
APPLICATION FOR PART TIME EMPLOYMENT Position: Desired Hourly Rate: Last Name First Name Date Address Street City State Zip Code Phone Number Email Address Are you at least 18 years of age or older? Yes
More informationCANINE/FELINE BOARD AND CARE AGREEMENT
! CANINE/FELINE BOARD AND CARE AGREEMENT I-Guard International K-9 Services, LLC, a Washington limited liability company d/b/a K9 Country Club Spokane Inc (the Club ) is a board and care facility dedicated
More informationCITY OF DENISON -AN EQUAL OPPORTUNITY EMPLOYER-
CITY OF DENISON -AN EQUAL OPPORTUNITY EMPLOYER- Last Name First Name Middle Name Address: street city state zip code Phone Number: Email address: Position applied for: Date to start: Are you currently
More informationThank you again and we look forward to serving you! Careswell Morris Property Services, LLC RENTAL APPLICATION FORM
, CMPS Cell: (301) 343-8159 Fax: 866-936-6116 Buttner01@gmail.com RENTAL APPLICATION FORM CMPS. thanks you in advance for your interest in renting one of our properties. We realize your housing needs are
More informationCANINE/FELINE BOARD AND CARE AGREEMENT
CANINE/FELINE BOARD AND CARE AGREEMENT I-Guard International K-9 Services, LLC, a Washington limited liability company d/b/a K9 Country Club Spokane Inc (the Club ) is a board and care facility dedicated
More informationOwner Operator Application
Owner Operator Application Name: (first) (middle) (last) Current Address: (street /city) (state, zip) (how long?) Previous Addresses: (street /city) (state, zip) (how long?) (street /city) (state, zip)
More informationAllcare Rehabilitation
Allcare Rehabilitation Welcome to Allcare Rehabilitation, Inc. Please complete the following information as accurately as possible as it is necessary we have this information to effectively file your insurance
More informationPRINTING INSTRUCTIONS
PRINTING INSTRUCTIONS All forms must be printed in COLOR on standard 8.5 x 11 paper. Black and white or illegible copies will NOT be accepted. 1. The MINOR VEST APPLICATION is a one (1) page form. 2. The
More informationSILVER PINES APARTMENTS
SILVER PINES APARTMENTS PHONE: (810) 987-0955 FAX (810) 479-9658 ---RENTAL APPLICATION--- PLEASE COMPLETE ALL REQUESTED INFORMATION ------------------------------------------------------------------------------------------------------------------------------------------
More informationKOKOMO KEY HOMEOWNERS' ASSOCIATION, INC.
INSTRUCTIONS FOR APPLICATIONS FOR RENTAL APPROVAL OF RENTAL IS CONTINGENT UPON RECEIPT OF ALL SIGNED DOCUMENTS TWENTY (20) DAYS PRIOR TO OCCUPANCY. IF DOCUMENTS ARE NOT COMPLETE, THEY WILL BE RETURNED
More informationVolunteer Information Form & Health History Packet
Volunteer Information Form & Health History Packet General Information Name: Age (If under 21): Address: City: State: Zip: Date of Birth: / / Home Phone# Cell Phone # Email: Occupation: Employer/School
More informationRental Application N. Broadway, Boulder, CO Thank you for choosing as your new home.
SBC MKT-168 Rental Application Boulder Housing Partners Rental Application 4800 N. Broadway, Boulder, CO 80501 Thank you for choosing as your new home. (720) 564-4610 All household members age 18 and over
More informationTurnkey Real Estate Management, Inc 3189 Princeton Road #298 Hamilton OH (513) FAX (513)
Dear Potential Tenant, Turnkey Real Estate Management, Inc 3189 Princeton Road #298 Hamilton OH 45011 (513) 275-1510 FAX (513) 217-2046 We would like to take this opportunity to thank you for considering
More informationR E S I D E N T I N F O R M A T I O N :
1 R H o m e P r o p e r t y M a n a g e m e n t, L L C A p p l i c a t i o n f o r R e s i d e n c y ( M a r y l a n d / T a x C r e d i t ) Please Print Clearly: Fill in form completely to the best of
More informationD.M.G. Athletics. The Official Indoor/Outdoor Summer Basketball League. Team Registration Packet
D.M.G. Athletics Presents The Official Indoor/Outdoor Summer Basketball League Team Registration Packet Questions: Contact Coach Dawne Gittens at 860-929-7692 or via email at dgittens@bgchartford.org Team
More informationPENNSYLVANIA CONVENTION CENTER REGISTRATION AND RIGHT OF ENTRY LICENSE AGREEMENT EVENT CONTRACTOR
PENNSYLVANIA CONVENTION CENTER REGISTRATION AND RIGHT OF ENTRY LICENSE AGREEMENT EVENT CONTRACTOR This Registration and Right of Entry License Agreement ( Agreement ) dated is entered between SMG, a Pennsylvania
More informationANNUITY AGENT CONTRACT TRANSMITTAL FORM
ANNUITY AGENT CONTRACT TRANSMITTAL FORM This form should be completed for: Any new agents being contracted by you, or Any changes you are requesting to an existing agent s commission level. Agents requesting
More informationSCREENING CRITERIA. Good, verifiable rental history Past 2 years minimum Employed minimum 6 months with current employer
SCREENING CRITERIA Welcome to PepZee Realty! We are glad you have chosen to apply with us. We offer several different styles, sizes, areas and price ranges. Our goal is to make sure you are happy and comfortable
More informationATLANTIC COUNTY GOVERNMENT Division of Human Resources 1333 Atlantic Avenue, Atlantic City, NJ
(PLEASE PRINT OR TYPE) ATLANTIC COUNTY GOVERNMENT Division of Human Resources 1333 Atlantic Avenue, Atlantic City, NJ 08401 www.aclink.org VOLUNTEER/INTERN/SPECIAL APPLICATION PERSONAL DATA NAME LAST FIRST
More informationINSTRUCTIONS FOR COMPLETING DBPR ABT 6004 DIVISION OF ALCOHOLIC BEVERAGES AND TOBACCO CHANGE OF OFFICER/STOCKHOLDER APPLICATION
INSTRUCTIONS FOR COMPLETING DBPR ABT 6004 DIVISION OF ALCOHOLIC BEVERAGES AND TOBACCO CHANGE OF OFFICER/STOCKHOLDER APPLICATION Application begins on page 3 If you have any questions or need assistance
More informationKids Creation Camp SCHOLARSHIPS ARE AVAILABLE! $205/Child $245/Child
Kids Creation Camp SCHOLARSHIPS ARE AVAILABLE! $205/Child $245/Child Kids Creation Camp SCHOLARSHIPS ARE AVAILABLE! $205/Child $245/Child Registration Form Please fill out and return to the address below
More informationbridges to independence
Date of Application: bridges to independence EMPLOYMENT APPLICATION EQUAL OPPORTUNITY EMPLOYER: It is our policy to first abide by all Federal, State and local laws prohibiting employment discrimination
More informationST. JAMES PLACE APARTMENTS SRO LTD. 169 Deweese St. Lexington, KY Phone (859) FAX (859)
ST. JAMES PLACE APARTMENTS SRO LTD. 169 Deweese St. Phone (859) 252-6642 FAX (859) 252-3162 Name: Application Processing Checklist (The following items must be completed for residency) [ ] Complete and
More informationApplication to Renew Cannabis Retail License 2019 (No Changes)
County of Santa Cruz Cannabis Licensing Office 701 Ocean Street, Room 520 Santa Cruz, CA 95060 831-454-3833 Cannabisinfo@santacruzcounty.us Application to Renew Cannabis Retail License 2019 (No Changes)
More informationWesthollow Village Homeowners Association, Inc. Swimming Pool Use Acknowledge of Risk Waiver and Release of Liability
Westhollow Village Homeowners Association, Inc. Swimming Pool Use Acknowledge of Risk Waiver and Release of Liability In consideration of my use of Westhollow Village s swimming pools, I hereby forever
More informationEast Lake Girls Lacrosse 2018 Spring Registration Form. Waiver and Release Form:
East Lake Girls Lacrosse 2018 Spring Registration Form Name: Parent Name: Emergency Number: Email: Address: City: ZIP: Phone Number: Grade: Age: Birth date: School: Position: Shirt Size Short Size Registration
More informationWAIVER, RELEASE OF ALL LIABILITY AND ASSIGNMENT OF CLAIMS. As consideration for being allowed to participate in the event described below, I agree:
WAIVER, RELEASE OF ALL LIABILITY AND ASSIGNMENT OF CLAIMS As consideration for being allowed to participate in the event described below, I agree: 1. I acknowledge that motor vehicle activity is a potentially
More informationSummit County 4-H Saddle Horse Fair Registration Return by June 1, of current year
Summit County 4-H Saddle Horse Fair Registration Return by June 1, of current year Information Page Club Name: Exhibitor Name: DOB: 4-H Age (as of Jan 1) How many years in 4-H (including this year)? Parent/Guardian
More informationUSE AGREEMENT BETWEEN CITY OF DADE CITY AND SPONSOR OF COMMUNITY GARDEN ORGANIZATION W I T N E S S E T H :
USE AGREEMENT BETWEEN CITY OF DADE CITY AND SPONSOR OF COMMUNITY GARDEN ORGANIZATION THIS AGREEMENT is made by and between the City of Dade City, a municipal corporation organized and existing under the
More informationHome Again Bail Bonds LLC P.O Box 2231 Winchester, VA Hour Phone Line Fax:
APPLICATION FOR BAIL BOND AND INDEMNITOR APPLICATION PLEASE WRITE NEATLY Name of person in jail Booking Name True Name Defendant is a US citizen Yes or No DOB Sex Race Height Weight Eye Color Glasses Hair
More information102 W. Burleigh Blvd. (Hwy 441) Tavares, Florida Phone: Fax: RESIDENT SELECTION CRITERIA
102 W. Burleigh Blvd. (Hwy 441) Tavares, Florida 32778 352-343-5500 Fax: 352-343-5522 RESIDENT SELECTION CRITERIA 1. APPLICATION: All Adult applicants 18 or older must submit a fully completed, dated and
More informationOsage Nation Tribal Works Department Housing Program 627 Grandview Pawhuska, OK Phone: (918)
Osage Nation Tribal Works Department Housing Program 627 Grandview Pawhuska, OK 74056 Phone: (918) 287-5310 Dear Homebuyer Applicant: Please read and thoroughly complete each section of the application.
More informationComplete with all phone numbers, addresses and dates. Signed by all applicants
Tor View Village Apartments 16A Kensington Circle, Garnerville, NY 10923 Phone: (845) 429-8222 Fax: (845) 429-7439 E-Mail: torviewvillageapts@verizon.net Thank you for choosing Tor View Village Apartments
More informationINSTRUCTIONS FOR COMPLETING DBPR ABT 6008 DIVISION OF ALCOHOLIC BEVERAGES AND TOBACCO APPLICATION FOR IMPORTERS, BROKERS, OR SALES AGENT LICENSES
INSTRUCTIONS FOR COMPLETING DBPR ABT 6008 DIVISION OF ALCOHOLIC BEVERAGES AND TOBACCO APPLICATION FOR IMPORTERS, BROKERS, OR SALES AGENT LICENSES Application begins on page 4 If you have any questions
More informationTHE CLUB AT BELLA COLLINA MEMBERSHIP AGREEMENT INVITATIONAL MEMBERSHIP. Member Initial
THE CLUB AT BELLA COLLINA MEMBERSHIP AGREEMENT INVITATIONAL MEMBERSHIP I. INFORMATION Please provide the following information for our files and records: PERSONAL Member s Name: Email Address: Birthdate:
More informationEast High Rugby Sooner State Tour II Friday April 6 Monday April 9
East High Rugby Sooner State Tour II Friday April 6 Monday April 9 All East High Rugby players are encouraged to travel with the team to matches in Tulsa, Oklahoma. The 22 nd annual tour is a great team
More informationThe Certificate of Insurance must come directly from the Insurance Agent/Company by fax, or US Mail.
Requirements for a Sedan, SUV, Limousine, Van/Shuttle, Taxicab, Non-Medical Vehicle for Hire Company A completed Vehicle for Hire application from our office must be accompanied by the following documents:
More informationAMBASSADORS IN MISSION
PARENTAL CONSENT AND AUTHORIZATION For Minors under the Age of 18 Foreign Travel aim@ag.org (417)862-2781 ext. 4029 The General Council of the Assemblies of God 1445 N. Boonville Ave. Springfield, MO 65802
More informationType: Film TV Commercial Photo Shoot Other. Project title: Brief description: Company name: Address: City, State, Zip: Local Project address:
2500 East Lake Avenue Glenview, IL 60026-2600 Phone: (847) 904-4370 Fax: (847) 724-1752 APPLICATION FOR A FILMING PERMIT This completed application must be filed with the Village Manager s Office no fewer
More informationParent & Camper Handbook/Manual
SLAM Sports Summer Camp Parent & Camper Handbook/Manual 2014 SLAM 5 5 5 SLAM 326-0003. SLAM SLAM SLAM Charter schools's d SLAM Academy 25.00 9:00 4 120.00 SLAM 5 5 SLAM SLAM SLAM SLAM main lobby of the.
More informationSun Valley Partnership LP P.O. Box Beverly Hills, CA CREDIT CRITERIA
Sun Valley Partnership LP P.O. Box 15928 Beverly Hills, CA 90209 213-804-4431 CREDIT CRITERIA 1. Applicant must provide a valid Driver s License, Social Security Card, and/or other government issued photo
More informationBartow County Occupational License
Occupational License (Completed by office) Data entered by: Occupational Tax License NON-RESIDENTIAL APPLICATION FOR AN OCCUPATIONAL TAX LICENSE This application must be submitted to the occupational tax
More informationExecutive Transportation Services, Inc. Employment Application Form
Employment Application Form PLEASE PRINT ALL INFORMATION REQUESTED This Company is an equal employment opportunity employer. We adhere to a policy of making employment decisions without regard to race,
More informationRental Application Instructions PLEASE READ THE FOLLOWING CAREFULLY
PRECISION PROPERTY MANAGEMENT SERVICES, INC 13375 McGregor Blvd Fort Myers, Florida 33919 Office (239) 267-1701 Fax: (239) 482-6416 www.thechanggroup.com Rental Application Instructions PLEASE READ THE
More informationCarroll County Department of Community Development
carrollcountyga.com/section/community_development/ Application for an Alcoholic Beverage License ***Print or Type clearly. Illegible applications will not be processed. After Pre-Application Conference,
More informationUNITED STATES AUTO CLUB
UNITED STATES AUTO CLUB 2015.25 MIDGET FAMILY COMPETITION LICENSE APPLICATION FOR ANNUAL FAMILY MEMBERSHIP & AUTHORIZATION FOR PUBLICITY USEAGE ANNUAL RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK
More informationCAREGIVER APPLICATION FOR EMPLOYMENT Continued
Visiting Angels is an equal opportunity employer, dedicated to a policy of non-discrimination on any basis including race, color, age, sex, religion, disability, national origin or marital status. Date:
More informationCapital Management Fair Oaks Blvd. Suite I. Fair Oaks CA, Office / Fax
RENTAL POLICIES & PROCEDURES The following policies have been established to ensure that all applicants for a property managed by Capital management. Please read the following polices. If you feel you
More informationSAVANNAH COUNTRY CLUB MEMBERSHIP AGREEMENT
SAVANNAH COUNTRY CLUB MEMBERSHIP AGREEMENT 501 WILMINGTON ISLAND ROAD SAVANNAH, GEORGIA 31410 912-897-1612 Savannah Country Club Levels Golf (30yrs- 71yrs) Monthly dues are $325.00. Full Golf includes
More information2019 Indoor Baseball Clinic Boys Ages 7-10
Department of Parks & Recreation - Recreation Division 101 Field Point Road, Greenwich, CT 06836-2540 Phone: (203) 618-7649 Email: Recreation@greenwichct.org 2019 Indoor Baseball Clinic Boys Ages 7-10
More informationINSTRUCTIONS FOR COMPLETING DBPR ABT 6008 DIVISION OF ALCOHOLIC BEVERAGES AND TOBACCO APPLICATION FOR IMPORTER OR BROKER SALES AGENT LICENSE
INSTRUCTIONS FOR COMPLETING DBPR ABT 6008 DIVISION OF ALCOHOLIC BEVERAGES AND TOBACCO APPLICATION FOR IMPORTER OR BROKER SALES AGENT LICENSE If you have any questions or need assistance in completing this
More informationApplication to Participate in Rotary Youth Exchange (Background Information Required by US Dept. of State)
Rotary Club Name District Page 1 of 5 V-1 Application to Participate in Rotary Youth Exchange (Background Information Required by US Dept. of State) (Updated 26Jan2017 G) First Name Middle Name Last Name
More information2018 Permit for Motorized Access for Recreational Use (Stewart Mountain Forest, LLC)
2018 Permit for Motorized Access for Recreational Use (Stewart Mountain Forest, LLC) Stewart Mountain Forest, LLC (Owner) owns the approximately 15,000 acres of timberlands located in Whatcom County, Washington,
More informationANNUAL LAKE ERIE OPEN WATER CLASSIC
Sunday, July 19, 2015 Sanction Number: EVENT INFORMATION EVENTS: There will be ½-Mile, 1-mile and 2-mile swims on a triangular course in Lake Erie. The start will be in the water. The finish will be on
More informationOsage Nation Tribal Works Department Housing Program PO Box 147 Hominy, Oklahoma Phone: (918) Fax: (918)
Osage Nation Tribal Works Department Housing Program PO Box 147 Hominy, Oklahoma 74035 Phone: (918) 287-5310 Fax: (918) 287-5568 Dear Homebuyer Applicant: Please read and thoroughly complete each section
More informationParental Consent Form
Parents and legal guardians of minor children must complete this form and return it to the Convoy of Hope Compassion Teams. The information requested is designed to assist in providing for the safety of
More informationALL APPLICANTS WILL BE CONSIDERED FOR APPROVAL ON THE FOLLOWING CRITERIA:
ALL APPLICANTS WILL BE CONSIDERED FOR APPROVAL ON THE FOLLOWING CRITERIA: 1. Applicants must be of legal age (18 years or older). 2. Applicant grants permission for a credit check to be completed. 3. Applicant
More informationAn Exclusive Recreational Membership
An Exclusive Recreational Membership LOCATION: 20 Elm Street (Route 62) North Reading, MA 01864 GENERAL OFFICES: Mail all correspondence to 149 S. Main Street Middleton, MA 01949 978-646-1111 Option 2,
More informationINSTRUCTIONS & SELECTION CRITERIA Addendum to Application
INSTRUCTIONS & SELECTION CRITERIA Addendum to Application SUN STONE PROPERTY does not discriminate on the basis of age, race, color, creed, religion, sex, national origin, and handicap, familial or military
More information2017 Minor Crew Check-List
2017 Minor Crew Check-List Following you will find the necessary forms to complete your 2017 IMSA Membership/License application and Annual hard card application. This checklist is meant to assist you
More informationEmployment Application CDL Holder Federal Rd, Suite B Houston, TX
Employment Application CDL Holder 1818 Federal Rd, Suite B Houston, TX. 77015 713.330.3000 1 Date: Personal Information First Name: Last Name: Street Address: City: State: Zip Code: Home Phone: Cell Phone:
More informationApplication for License, Permit and Miscellaneous Bonds BOND INFORMATION
Surety Group Application for License, Permit and Miscellaneous Bonds A BOND INFORMATION Bond Number: TYPE OF BOND BOND AMOUNT REQUESTED EFFECTIVE DATE BOND TO BE FILED WITH (OBLIGEE) ADDRESS OF OBLIGEE
More informationRHONEWOOD PARK HOMEOWNERS ASSOCIATION P.O. BOX 263 LIVERMORE, CA KEYED ENTRY ACCESS REQUEST FORM
P.O. BOX 263 LIVERMORE, CA 94551 667-6647 KEYED ENTRY ACCESS REQUEST FORM Pool Manager: Dayna Key 667-6647 Business Manager: Julie Steinhorst 250-9807 SCHEDULE KEY FEE May 1 through October 30 (weather
More informationAPPLICATION FOR CERTIFICATE OF COMPETENCY
Pasco County Building Construction Services Contractor Licensing 7508 Little Road New Port Richey, FL 34654 (727) 847-8009 contractorlicensing@pascocountyfl.net APPLICATION FOR CERTIFICATE OF COMPETENCY
More informationCDL EMPLOYMENT APPLICATION
CDL EMPLOYMENT APPLICATION Saginaw County Road Commission 3020 Sheridan Avenue Saginaw, MI 48601 989-752-6140 Careful and thoughtful completion of this Application is an important step in our consideration
More informationPERSONAL INFORMATION
Please complete all requested information on the front and back of this form. Thank you for your interest in our apartments. of Application Desired of Occupancy Type and Size of Apartment Wanted (No. of
More informationI/We enclose a fully executed copy of the Trustee Amendment for your records. I/We would also like to provide you with the information listed below.
Dear Fiduciary Support: I/We enclose a fully executed copy of the Trustee Amendment for your records. I/We would also like to provide you with the information listed below. 1. Choose one: I/We have already
More informationFellowship Baptist Church Youth Ministry Permission Forms
Fellowship Baptist Church Youth Ministry Permission Forms Fellowship Baptist Church, Youth Ministry, and Volunteers Are Designated By The Abbreviation FBC Throughout This Entire Form GENERAL PERMISSION
More informationAMERICAN YOUTH FOOTBALL Volunteer Forms
Volunteer Forms REQUIRED FOR REGIONAL AND NATIONAL PARTICIPATION Volunteer forms must be presented for compliance verification prior to any team participation in any American Youth Football, Inc., American
More information