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  • Travel Request Form

    We are excited to see you on January 25, 2023 for our company offsite! Please fill out this questionnaire by Wednesday, January 4, so we can take care of your meal and travel accommodations while you're in town. We will provide you with the proposed itinerary before finalizing to ensure it works with your schedule.
  • Travel Request Form
    We are excited to see you on January 25, 2023 for our company offsite! Please fill out this questionnaire by Wednesday, January 4, so we can take care of your meal and travel accommodations while you're in town. We will provide you with the proposed itinerary before finalizing to ensure it works with your schedule.


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    Should you have any questions, please contact Phillip.

  • ASSUMPTION OF RISK, HOLD HARMLESS AND LIABILITY RELEASE

    In connection with my engagement by Company in connection with the Services, I hereby acknowledge and agree the following as part of this Assumption of Risk, Hold Harmless and Liability Release (the “Release”):

    In connection with my engagement by Company in connection with the Services, I hereby acknowledge and agree the following as part of this Assumption of Risk, Hold Harmless and Liability Release (the “Release”):

    I acknowledge, understand, and am aware that Services may be performed in regions potentially affected by SARS-CoV-2 and/or COVID-19, also known as the Coronavirus (collectively referred to herein as “COVID-19”) and other transmissible diseases, illnesses and hazards (collectively, the “Affected Area”), and that I may be in proximity to and/or interacting with individuals who may be sick, who may or may not be exhibiting symptoms or who may be infected by COVID-19 or who may be otherwise contagious. I am aware that the Centers for Disease Control and Prevention (“CDC”), in addition to other local, state and federal health and government agencies have issued numerous alerts, warnings, advisories, restrictions, directives and in some cases orders regarding the transmission and potential effects of COVID-19 and I fully acknowledge and accept the risks involved in rendering services in the Affected Area. I hereby acknowledge and agree that I am voluntarily deciding to remain in the Affected Area and that my decision to do so is mine and mine alone, which I arrived at after careful thought and consideration, and which has not been influenced by Company, any brand, or any personnel or any representatives, employees, agents or affiliates thereof, and further, such decision is not required as a condition of my future services in connection with Company or otherwise. I further acknowledge that my election to work in the Affected Area may significantly increase my risk of contracting COVID-19. By electing to remain in the Affected Area, I acknowledge and agree that I am voluntarily potentially exposing myself to various hazards, including but not limited to, illness, injury, infection, and/or death. I acknowledge and agree that it is my responsibility to take appropriate health and safety precautions. I freely and knowingly accept and assume any and all risks of rendering services in the Affected Area as well as any risks not mentioned herein that are associated with my services in and in connection with the Services. I understand that if any harm befalls me as a result of my decision to participate in the Services, the sole remedy, if any, shall be limited to worker’s compensation insurance coverage (if and as applicable).

    I represent and warrant that I am in good physical health, that I do not have any of the conditions that the CDC has categorized as “high risk” in the event I contract COVID-19 (including, without limitation, pre-existing, underlying or chronic health conditions or previous medical concerns or diagnosis), and that I am physically able and mentally capable of rendering services in the Affected Area. In the event I begin to exhibit symptoms of COVID-19, or I otherwise feel sick, I acknowledge and agree that I will immediately notify Company and discontinue Services for Company hereunder. Additionally, I will immediately notify the Company if I have been exposed to, or am exposed to, someone who has tested positive for COVID-19. 

    To the fullest extent permitted by law, I hereby expressly release, indemnify, discharge and hold harmless Company and its owners, licensees and assigns, and each of their respective parents, subsidiaries, affiliated and related companies, and their respective officers, directors, employees, representatives, licensees, assigns and designees, from and against any and all liability, claims, demands and causes of action of any kind, including without limitation, claims for personal injury, disability, death, property damage and/or other loss of any sort suffered by me in connection with my engagement by Company, or any other adverse consequences or outcomes that may result from my engaging in services in connection with the Services and/or rendering services in the Affected Area.

    I fully understand and agree that my signature below constitutes an express assumption of any and all risks arising out of or in connection with rendering services in the Affected Area and I intend my signature to be a complete and unconditional release of liability to the maximum extent allowed by law.

     

     

     

     

     

     

     

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