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Entry of appearance waiver and... ENTRY OF APPEARANCE WAIVER AND CONSENT FORM AND INSTRUCTIONS Purpose The entry of appearance is a substitute for service on your spouse of a summons and a copy of the petition for dissolution of marriage. If your spouse will sign the entry of appearance he/she is agreeing that the case can go ahead as if he/she had already gotten a summons and had not filed any response with the court. This is a substitute so if your spouse signs the entry of appearance you do not have to serve him/her with a summons. What You Have to Do If your spouse is willing to sign the entry of appearance you must complete the have it notarized* It can then be filed with the circuit clerk. Since this document is your spouse s entry and not yours neither your fee waiver nor your payment of your own filing fees covers the cost of filing this document. Therefore the filing fee for the filing of your spouse s entry of appearance must be paid or your spouse must get a fee waiver from the judge. How to Complete the Sheet You have two choices. You can fill in the form on your computer and then print the form* Or you can print the form from your computer and fill in the form with a pen or typewriter. To use your computer to fill in the form move your mouse over the lines you need to fill in and start typing your information* If you want to erase all of the information you have typed in the form click on the form reset button on the last page of the form* Please note that you cannot type in the spaces where your signature is required* Additionally you will need to have this form signed and stamped by a notary public* Do not write or type in the spaces that the notary should complete. Each numbered instruction corresponds to the same number on the Entry of Appearance. Insert the number of the circuit in which your courthouse is located* If you do not know this you can ask the Circuit Clerk at the Courthouse. Insert the name of the county in which you are filing your case. Insert your name. Insert the case number assigned by the Circuit Clerk you got this from the clerk when you filed your case. Insert the date this form is signed by your spouse. Have your spouse sign the form on this line this must be done in the presence of the Notary Public. 12 Have the Notary Public put his/her name here. notarized* STATE OF ILLINOIS IN THE CIRCUIT COURT OF THE 1 JUDICIAL CIRCUIT 2 COUNTY IN RE THE MARRIAGE OF Plaintiff and Defendant. No* 5 WAIVER AND CONSENT in the above-entitled cause as Defendant therein and expressly waive my right to be served with a summons and copy of the petition for dissolution of marriage and consent that the case may go forward with the same force and effect as though I had been served with a summons appearance by me. I further state that I understand that I have the right to seek my own attorney or represent myself in this case but have voluntarily chosen not to do so. I further certify that I am aware that property owned by myself and Plaintiff may be classified as marital or non-marital property and I am aware that marital misconduct does not enter into a judicial division of that property.

Microdermabrasion consent form Microdermabrasion Client Informed Consent Form Patient Date This consent form is designed to verify that you have been satisfactorily informed and educated in respect to your whether to have this procedure performed. This disclosure is not meant to alarm you it is simply an effort to make you better informed so you may give or withhold your consent for treatment. Please read and initial where indicated* I acknowledge having been informed that this cosmetic procedure is intended to remove superficial surface layers of the skin to improve the vitality of the skin* Initial here I understand that my skin care professional can discover other or different conditions that may require additional or different procedures than those planned* If my skin care professional discovers such other or different conditions I will be referred to an appropriate medical care provider. Initial here It has been explained to me that because microdermabrasion procedures are a superficial abrasion to the skin the result of a one-time treatment is similar to a deep cleansing or polishing of the skin* I understand that in order to see significant results these treatments need to be done in a series and in combination with active ingredient skin care products. Initial here at least fifty percent improvement. I acknowledge that the practice cosmetology is not an exact science and that no specific guarantees can or have been made concerning the expected result* Some clients skin may show improvement while others may not show marked improvement. Initial here or my skin may experience a wind-burned sensation* Initial here my obligation to follow the written and spoken instructions covering my pre- and post-treatment skin care regimen* Initial here such as hyper-pigmentation hypo-pigmentation and scarring. Following all post procedure instructions will help avoid conditions. Initial here acyclovir from WSWH prior to having microdermabrasion* I need to avoid treatments during a breakout. Initial here 1 3 days following treatment. Initial here Acne patients it has been explained to me that I may experience a slight acne flare-up and that my acne condition may temporarily look worse for a few days after a microdermabrasion treatment. Initial here the treated areas on a daily basis during my treatment series. Initial here here I have read and initialed each paragraph and have been satisfactorily informed of the benefits risks and complications regarding microdermabrasion* I consent to this microdermabrasion treatment today and for all subsequent Patient Signature Witness Signature Parent/Legal Guardian Signature if patient is a minor Date West Suburban Women s Health at Antares Med Spa 545-E Plainfield Road Willowbrook IL 60527 630. Please read and initial where indicated* I acknowledge having been informed that this cosmetic procedure is intended to remove superficial surface layers of the skin to improve the vitality of the skin* Initial here I understand that my skin care professional can discover other or different conditions that may require additional or different procedures than those planned* If my skin care professional discovers such other or different conditions I will be referred to an appropriate medical care provider. Initial here It has been explained to me that because microdermabrasion procedures are a superficial abrasion to the skin the result of a one-time treatment is similar to a deep cleansing or polishing of the skin* I understand that in order to see significant results these treatments need to be done in a series and in combination with active ingredient skin care products.

Fitness consent form Informed Consent Form for Physical Fitness Program www. Zegee. com/trainer/paul1970mc Client Contact Information Name Phone mobile Full Address Phone home In case of emergency contact Phone General Statement of Program Objectives and Procedures I understand that this physical fitness program includes exercises to build the cardiorespiratory system heart and lungs the musculoskeletal system muscle endurance and strength and flexibility and to improve body composition decrease of body fat in individuals needing to lose fat with an increase in weight of muscle and bone. Exercise may include aerobic activities treadmill walking running bicycle riding rowing machine exercises group aerobic activity swimming and other aerobic activities callisthenic exercises and weight lifting to improve muscular strength and endurance and flexibility exercises to improve joint range of motion* Description of Potential Risks with accuracy. I know there is a risk of certain abnormal changes occurring during or following exercise which may include abnormalities of blood pressure or heart attacks. Use of the weight lifting equipment and engaging in heavy body calisthenics may lead to musculoskeletal strains pain and injury if adequate warm-up gradual progression and safety procedures are not followed* I understand that personal trainer seller shall not be liable for any damages arising from personal injuries sustained by client buyer while and during the personal training program* Client buyer using the exercising equipment during the personal training program does so at his/her own risk. Client buyer assumes full responsibility for any injuries or damages which may occur during the training. I hereby fully and forever release and discharge personal trainer seller its assigns and agents from all claims demands damages rights of action present and future therein* I understand and warrant release and agree that I am in good physical condition and that I have no disability impairment or ailment preventing me from engaging in active or passive exercise that will be detrimental to heart safety or comfort or physical condition if I engage or participate other than those items fully discussed on health history form. I state that I have had a recent physical checkup and have my personal physician s permission to engage in aerobic and/or anaerobic conditioning. associated with it. These may include a decrease in body fat improvement in blood fats and blood pressure improvement in physiological function and decrease in heart disease. I have read the foregoing information and understand it. Any questions which may have occurred to me have been answered to my satisfaction* Signature of Buyer Client Date Signature of WitnessDate Created by Zegee. Exercise may include aerobic activities treadmill walking running bicycle riding rowing machine exercises group aerobic activity swimming and other aerobic activities callisthenic exercises and weight lifting to improve muscular strength and endurance and flexibility exercises to improve joint range of motion* Description of Potential Risks with accuracy. I know there is a risk of certain abnormal changes occurring during or following exercise which may include abnormalities of blood pressure or heart attacks.

Army parental consent form PARENT / GUARDIAN CONSENT FORM FOR RECRUITEMENT ACTIVITIES PLEASE NOTE: This is the consent form required for candidates under the age of 18 to take part in activities related to the recruitment process

Consent to release tax returnb... Consent to Disclosure of Tax Return/Bookkeeping Information to Third Party Please keep a copy of this signed consent form for your records. A fee may be charged to provide the requested information.

Ged consent form ohio Ohio GED Parental Consent Form NOTE If you are 16 or 17 years of age this form must be completed and sent to the GED Office with your Confirmation Form or GED Application. I Parent or Guardian Signature if under 18 Date grant consent for / Print Applicant Name Date of Birth to take the Official General Education Development GED Test. Applicant ID number used on Test Application Relationship to Applicant Parent Guardian Please attach copy of court order appointing guardianship or emancipation* NOTARY Subscribed before me in the City of State of County of United States of America this day of Notary Signature NOTARY PUBLIC STAMP My Commission Expiration Date If you applied online please mail one copy of the Confirmation Sheet with this completed form to GED Application Office Ohio Department of Education 25 S* Front St* 1st Floor Columbus OH 43215 Rev* 01/01/07.

Parentalguardian consent form... UNIT NUMBER For IBC Use Only Parental/Guardian Consent to Blood Donation for 16 Year Old Donors Voluntarily donating blood through the Indiana Blood Center (IBC) allows the blood to be used in any

Uk consent form minor CONSENT FORM FOR MINOR 6 month-17 years CHILD REN TO TRAVEL WITHOUT PARENT/LEGAL GUARDIAN Date I we authorize my/our minor child ren /ward to travel on Cruise Ship from Date Reservation ID with the following accompanying adult over 21 Their expected date of return to the UK is. I we authorize the above adult to supervise the minor whilst onboard and to sign waivers for the minor to participate in any activities requiring them e*g* Rock Climbing wall Flowrider water sports zipline inline or ice skating. In addition I we authorize the above adult to consent to any necessary routine or emergency medical treatment during the aforementioned cruise if a qualified medical person advises such. Signed Parent/s Address of Parent/s Telephone of Parent/s Sworn to and signed before me this day of 20 Solicitor/Commissioner for Oaths/Notary Public Signature and Seal Please note this letter must have an official stamp from the authorised person legally affirming it. I we authorize the above adult to supervise the minor whilst onboard and to sign waivers for the minor to participate in any activities requiring them e*g* Rock Climbing wall Flowrider water sports zipline inline or ice skating. In addition I we authorize the above adult to consent to any necessary routine or emergency medical treatment during the aforementioned cruise if a qualified medical person advises such. In addition I we authorize the above adult to consent to any necessary routine or emergency medical treatment during the aforementioned cruise if a qualified medical person advises such. Signed Parent/s Address of Parent/s Telephone of Parent/s Sworn to and signed before me this day of 20 Solicitor/Commissioner for Oaths/Notary Public Signature and Seal Please note this letter must have an official stamp from the authorised person legally affirming it. I we authorize the above adult to supervise the minor whilst onboard and to sign waivers for the minor to participate in any activities requiring them e*g* Rock Climbing wall Flowrider water sports zipline inline or ice skating. In addition I we authorize the above adult to consent to any necessary routine or emergency medical treatment during the aforementioned cruise if a qualified medical person advises such. Signed Parent/s Address of Parent/s Telephone of Parent/s Sworn to and signed before me this day of 20 Solicitor/Commissioner for Oaths/Notary Public Signature and Seal Please note this letter must have an official stamp from the authorised person legally affirming it.

Caribbean consent form CONSENT FORM LETTER OF PERMISSION CONSENT FOR MINOR CHILDREN UNDER THE AGE OF 18 TO TRAVEL WITHOUT PARENT/LEGAL GUARDIAN Date: I/We authorise my/our Full Name minor child(ren)/ward to travel on cruise

Student ferpa consent form for... Student FERPA Consent Form for Access to Educational Records Office of the Registrar The Family Educational Rights and Privacy Act (FERPA), affords certain rights to students concerning the privacy

Termination of pregnancy form... PLEASE PRINT WHOLE FORM DOUBLE SIDED ON YELLOW PAPER Patient Information to be retained by patient affix patient label Your medical procedure (EMA) Clinic details Where and when to go You have been

Humana consent form Your guide to PPO enrollment CoverageFirst Consent for Release of Protected Health Information Member information (person whose information will be released): Your name: Date of birth: First Middle

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