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Ukc duplicate papers form 00 applies This form is to be used only by a dog s current Owner s of Record to request a DUPLICATE UKC Registration Certificate AND TRANSFER of ownership of an individual dog. This form must be submitted with an Application for Duplicate Registration Papers must be completed and signed by the current Owner s of Record and must have the signature and stamp of a certified public notary. Accompanying Form to Duplicate and Transfer a UKC Registered ...

Philippines firearm form APPLICATION FOR RENEWAL OF INDIVIDUAL FIREARM LICENSE (Requirement & Instruction to applicant: Please see page 2) ADMIN CONTROL I DATE: - / Day Chief, Philippine National Police (Attn: Chief,

Turkey trot registration form... ? Sunday ? November ?18, ?2012 ? 5K ?Run ?(3.1 ?miles) ? 1 ?Mile ?Health ?Walk ? Show ?us ?what ?you?ve ?got ?at ?our ?Turkey ?Trot!! ? ?Run ?or ?Walk ?for ?WAMS ? Sponsored ?by ?Basking ?Ridge ?Pediatrics,

Registration form central cast... ***OFFICE USE ONLY*** DOB: SSN: PREPARED BY: NEW / ACTIVE / INACTIVE REGISTRATION FORM DATE: MALE FEMALE SAG - AFTRA NON-UNION (Non SAG - AFTRA) FULL LEGAL NAME: UNION NAME: (if applicable) PHONES:

Uofn course registration form University of the Nations Form C1 Lecture (First) Phase Final Student Evaluation & Report Page 1 (10/09 (Due within 48 hours of course completion. To be filled in by school leader) INSTRUCTIONS

Youth registration form Registration Form Children Youth and Teen Programs MCBH Kaneohe Bay Hawaii Child s NameGenderBirthdate AddressHome Phone Father s NameRank Unit Branch Email address Work Phone Cellular Phone Total Household Members Check boxes that apply My Child has no special needs/allergies/illnesses My child has special needs Please list them below. My child has allergies. Please list below and what action steps must be taken if s/he has an allergy attack. Dual and Single Military ONLY please circle one Single unmarried Active Duty Current Family Care Plan Date Dual Active Duty Single Parent Households must supply the following Letter from Command if Active Duty Dependency Application Divorce Decree or Legal Separation Court Documents stating that the parent has at least 51 physical custody Data required by the Privacy Act of 1974 Authority Title 10 United States Code 5013 5042 5043 Principle Purpose To provide information to the Children Youth and Teen Programs personnel on any health problem of an enrolled child and to have necessary information on file to contact authorized adults in case of emergency. Routine Uses Information is furnished to attending physicians by CYTP staff when it is necessary for a child to be taken to a medical facility by someone other than parents. Information on immunizations and medical problems will be a part of the CYTP admissions records. Disclosure Disclosure of requested information is voluntary however if requested information is not provided children will not be accepted at the Children Youth and Teen Programs. Consent Form I hereby agree and consent that if my child/children exhibit signs of illness or injury and the Children Youth and Teen Programs is unable to contact me or one of the supervisor on duty my child may be transported to the Branch Medical Clinic MCBH Tripler Army Hospital and/or Preventive Medicine for medical examination/treatment that is deemed desirable by the personnel of the medical facility. Emergency Contact Information I authorize the following people to pick up or drop off my child You must list at least 2 other contacts besides mother/father who live on-island and must be able to reach the site within one 1 hour Name Relationship Address Home Phone Cell Phone PARENT SIGNATURE DATE PARENTS REVISED DATE. My child has allergies. Please list below and what action steps must be taken if s/he has an allergy attack. Dual and Single Military ONLY please circle one Single unmarried Active Duty Current Family Care Plan Date Dual Active Duty Single Parent Households must supply the following Letter from Command if Active Duty Dependency Application Divorce Decree or Legal Separation Court Documents stating that the parent has at least 51 physical custody Data required by the Privacy Act of 1974 Authority Title 10 United States Code 5013 5042 5043 Principle Purpose To provide information to the Children Youth and Teen Programs personnel on any health problem of an enrolled child and to have necessary information on file to contact authorized adults in case of emergency.

2013 fall pickleball league re... 2013 FALL PICKLEBALL LEAGUE REGISTRATION FORM This registration form should be returned via-e-mail to League Chairman, Richard Bradley, rlbradley1963 gmail.com NAME PHONE E-MAIL PLAYERS SELF Rating

Fill registration form of sat College Board SAT Program P. O. Box 8056 Mount Vernon IL 62864-0208 USA 2013-14 REGISTRATION FORM and SAT QUESTIONNAIRE Print in CAPITAL LETTERS. Use blue or black ink no pencil to fill in all information. All items in red must be completed or your registration will be returned unprocessed. Follow instructions in the Registration Guide to complete both sides of the form. Do not staple anything to this form. PHOTO REQUIRED NAME REQUIRED LAST NAME Family Name - first 15 letters Your photo cannot be larger than this box and should be at least 2 x 2. See the Registration Guide or sat. org/photorequirements for more information* Your photo will be added to your registration and will appear on your Admission Ticket. FIRST NAME - first 12 letters DATE OF BIRTH REQUIRED Month Day When you register you authorize the release of your testing information to your school* Enter 970000 if schooled at home. If you do not know your code or you have confirmed that your school does not have a code see the collegeboard. org/sat-codes. Use clear tape around all four edges of your photo. DO NOT USE paper clips staples or glue. Write your name date of birth and high school code on the back of the photo then tape the photo over the barcode above. 9th grade 12th grade or higher No longer in high school 1st year of college 2nd year of college TEST CENTER CODES REQUIRED Go to collegeboard. org/sat-codes for the most up-to-date list of test center codes or ask your counselor. Find two nearby centers that offer the test s in the month you selected in Item 8. Fill in the corresponding ovals. Seat assignment is on a first-come first-served basis. First Choice MAILING ADDRESS REQUIRED Indicate type of address U*S*/U*S* territory International Line 1 Street address or P. O. Box Line 2 Apartment number if applicable Second Choice Line 3 International District or Urbanization OTHER SERVICES AND FEES Add up any fees in 13a through 13d and place sum in 13e. EXPECTED HIGH SCHOOL GRADUATION Month Restrictions may apply to test-takers Year a Additional Report Fees See Item 12b 14 a Late Fee if applicable See the Registration Guide Late registration fee U*S* only. 27. 50 13d INTERNATIONAL PROCESSING REQUIRED for international students If testing outside the U*S* and U*S* territories use the list in the back of the Registration Guide to select the region for the first choice test center you listed in Item 9. Fill in the appropriate oval and print the fee for the region in the boxes. Africa Sub-Saharan - 31. 00 Americas - 31. 00 East Asia/Pacific - 40. 00 Europe Eurasia - 35. 00 Middle East/N* Africa - 35. 00 South Central Asia - 40. 00 13 e OTHER SERVICES FEES TOTAL Enter sum of fees here and in Item 17a PUBLICATIONS 14 b The Official SAT Study Guide with DVD. 31. 99 The Official Study Guide for all SAT Subject Tests Second Edition. 22. 99 Levels 1 2 Study Guide. 18. 99 World History Study Guide. 18. 99 College Handbook 2014. 29. 99 Enter in Total under Item 17c SAT Subject Tests BASIC FEE Required if taking the Subject Tests.

Virginia beach alarm registrat... Print Form PD-207 Rev. 12/08 City of Virginia Beach Municipal Center Building 11 2509 Princess Anne Road Virginia Beach VA 23456-9064 DEPARTMENT OF POLICE FALSE ALARM UNIT 757 385-1739 FAU VBgov.com Alarm Registration Form A NON-REFUNDABLE 10. Failure to correctly and fully complete this registration form will delay your registration and may put the alarm site in a No Response status by the Police Department. The non-refundable registration fee is 10. 00. One fee per registration application is required. Make check payable to City of Virginia Beach. The non-refundable registration fee is 10. 00. One fee per registration application is required. Make check payable to City of Virginia Beach. All information must be typed or printed neatly. This form is the property of City of Virginia Beach and may not be photocopied or duplicated in any way. watch dogs security guards non-uniformed security hazardous materials weapons stored on site etc. system. Monitoring Company Indicate the name phone number and fax number for the alarm company that monitors your alarm system. Return the completed form and the fee to the Police Department Services Division Attn FARU If you need further assistance please contact the False Alarm Reduction Unit at 757 385-1739. 00 REGISTRATION FEE MUST BE SUBMITTED WITH EACH REGISTRATION FORM. MAKE THE CHECK OR MONEY ORDER PAYABLE TO CITY OF VIRGINIA BEACH. MAIL COMPLETED FORM AND PAYMENT TO POLICE DEPARTMENT SERVICES DIVISION ATTN FARU 2509 PRINCESS ANNE ROAD VIRGINIA BEACH VA 23456. PLEASE REFER TO THE BACK OF THIS FORM FOR FURTHER INSTRUCTIONS* ALL INFORMATION ON THIS FORM IS CONFIDENTIAL* 1. Alarm User Information Alarm Location Last Name First Name Street Number Middle Initial Drivers License Number Apt Suite Zip Code Business Name Alarm Location Phone Number Business Employer Identification Number Cell Phone / Pager Number E-Mail Address 2. Mailing Address If Different from the Alarm Location Apt/Suite/Room City/Town 3. Special Conditions State i*e* Hazardous Material s Watch Dog Handicapped Persons Alzheimer s Patient Special Needs Child. 4. Alarm Company Information Company Name Phone Number E-Mail/Web Address 5. Alarm Monitoring Service If Different From Alarm Company Registration of an alarm system is not intended to nor will it create a contract duty or obligation either expressed or implied of response. Any and all liability and consequential damage resulting from the failure to respond to a notification is hereby disclaimed and governmental immunity as provided by law is retained* By registering an alarm system the alarm user acknowledges that police response may be based on factors such as availability of police units priority calls weather conditions traffic conditions emergency situations and staffing. 6. Signature Line Alarm User s Signature Date Instructions for Alarm Registration This form is to be used to register systems. Failure to correctly and fully complete this registration form will delay your registration and may put the alarm site in a No Response status by the Police Department.

Litter application form americ... For office use only 4 GEN 6 GEN 7GEN S RUSH RUSH Call# Date Online Classified Now only $5 ! Amt LITTER REGISTRATION AMERICAN DOG BREEDERS ASSOCIATION INC. P.O. BOX 1771 - SALT LAKE CITY, UT. 84110

Turles gymnastics guest regist... Registration Form Turle?s American Gymnastics & Trampoline Academy Inc. 1960 Enterprise Pkwy Twinsburg OH 44087 330 ? 405 ? 0777 www.americangymnasticsacademy.com fax 330 ? 405 - 0771 Student?s

Patient registration formpdf TIME 10:29 AM DATE 7/24/2007 PATIENT REGISTRATION ID: Chart ID: First Name: Last Name: Patient Is: Middle Initial: Preferred Name: Policy Holder Responsible Party Responsible Party (if someone other

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