Liberación de Cuna Portátil - Crib Release Spanish


Certifico que la información proporcionada en esta solicitud es verdadera. Autorizo ​​a Cradle of Hope y a los representantes de la Agencia a verificar y comunicar cualquier información contenida en esta solicitud o sobre mi situación para ayudarme. También certifico que la información sobre Sueño Seguro ha sido revisada conmigo. A cambio de recibir una cuna portátil, acepto indemnizar, defender y eximir de responsabilidad a Cradle of Hope, sus subsidiarias, empleados, agentes y contratistas y sus representantes y empleados designados, de todos los reclamos, pérdidas, daños, lesiones, costos y gastos que surjan de cualquier acto u omisión que involucre la colocación y/o uso de la cuna portátil, juego de sábanas o SleepSack. El solicitante acepta que este acuerdo es vinculante para todos los herederos, sucesores y cesionarios.

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Signature Certificate
Document name: Liberación de Cuna Portátil - Crib Release Spanish
lock iconUnique Document ID: 95f51df669ad79497e1ba1e9222450a9271bbeb1
Timestamp Audit
January 2, 2024 3:24 pm CDTDarlene Kopesky - dkopesky@cradleofhope.org added by Darlene Kopesky - dkopesky@cradleofhope.org as a CC'd Recipient Ip: 73.5.168.211
January 2, 2024 3:24 pm CDTBecca Balzer - rbalzer@cradleofhope.org added by Darlene Kopesky - dkopesky@cradleofhope.org as a CC'd Recipient Ip: 73.5.168.211
January 2, 2024 3:28 pm CDTDarlene Kopesky - dkopesky@cradleofhope.org added by Darlene Kopesky - dkopesky@cradleofhope.org as a CC'd Recipient Ip: 73.5.168.211
January 2, 2024 3:28 pm CDTBecca Balzer - rbalzer@cradleofhope.org added by Darlene Kopesky - dkopesky@cradleofhope.org as a CC'd Recipient Ip: 73.5.168.211
January 2, 2024 3:33 pm CDTDarlene Kopesky - dkopesky@cradleofhope.org added by Darlene Kopesky - dkopesky@cradleofhope.org as a CC'd Recipient Ip: 73.5.168.211
January 2, 2024 3:33 pm CDTBecca Balzer - rbalzer@cradleofhope.org added by Darlene Kopesky - dkopesky@cradleofhope.org as a CC'd Recipient Ip: 73.5.168.211
January 2, 2024 3:34 pm CDTDarlene Kopesky - dkopesky@cradleofhope.org added by Darlene Kopesky - dkopesky@cradleofhope.org as a CC'd Recipient Ip: 73.5.168.211
January 2, 2024 3:34 pm CDTBecca Balzer - rbalzer@cradleofhope.org added by Darlene Kopesky - dkopesky@cradleofhope.org as a CC'd Recipient Ip: 73.5.168.211
January 2, 2024 3:34 pm CDTDarlene Kopesky - dkopesky@cradleofhope.org added by Darlene Kopesky - dkopesky@cradleofhope.org as a CC'd Recipient Ip: 73.5.168.211
January 2, 2024 3:34 pm CDTBecca Balzer - rbalzer@cradleofhope.org added by Darlene Kopesky - dkopesky@cradleofhope.org as a CC'd Recipient Ip: 73.5.168.211
January 2, 2024 9:21 pm CDTLiberación de Cuna Portátil - Crib Release Spanish Uploaded by Darlene Kopesky - dkopesky@cradleofhope.org IP 75.247.230.175
January 3, 2024 1:30 pm CDTDarlene Kopesky - dkopesky@cradleofhope.org added by Darlene Kopesky - dkopesky@cradleofhope.org as a CC'd Recipient Ip: 73.5.168.211
January 3, 2024 1:30 pm CDTBecca Balzer - rbalzer@cradleofhope.org added by Darlene Kopesky - dkopesky@cradleofhope.org as a CC'd Recipient Ip: 73.5.168.211
January 19, 2024 12:30 pm CDTDarlene Kopesky - dkopesky@cradleofhope.org added by Darlene Kopesky - dkopesky@cradleofhope.org as a CC'd Recipient Ip: 75.247.134.41
January 19, 2024 12:30 pm CDTBecca Balzer - rbalzer@cradleofhope.org added by Darlene Kopesky - dkopesky@cradleofhope.org as a CC'd Recipient Ip: 75.247.134.41
January 19, 2024 12:44 pm CDTDarlene Kopesky - dkopesky@cradleofhope.org added by Darlene Kopesky - dkopesky@cradleofhope.org as a CC'd Recipient Ip: 75.247.134.41
January 19, 2024 12:44 pm CDTBecca Balzer - rbalzer@cradleofhope.org added by Darlene Kopesky - dkopesky@cradleofhope.org as a CC'd Recipient Ip: 75.247.134.41
February 19, 2024 12:49 pm CDTDarlene Kopesky - dkopesky@cradleofhope.org added by Darlene Kopesky - dkopesky@cradleofhope.org as a CC'd Recipient Ip: 75.247.230.175
February 19, 2024 12:49 pm CDTBecca Balzer - rbalzer@cradleofhope.org added by Darlene Kopesky - dkopesky@cradleofhope.org as a CC'd Recipient Ip: 75.247.230.175
February 19, 2024 1:17 pm CDTDarlene Kopesky - dkopesky@cradleofhope.org added by Darlene Kopesky - dkopesky@cradleofhope.org as a CC'd Recipient Ip: 75.247.230.175
February 19, 2024 1:17 pm CDTBecca Balzer - rbalzer@cradleofhope.org added by Darlene Kopesky - dkopesky@cradleofhope.org as a CC'd Recipient Ip: 75.247.230.175
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http://cradleofhope.org/
Audit Trail Serial# b69739618ad21d3386173197c192e3a6