ࡱ> hjg7  bjbjUU F$7|7|ln n n n $  < wyyyyyy$  v n n n 8 www  w    Xw0w Gf  n n n n   INTAKE FORM FOR ARTS ORGANIZATIONS & COMPANIES CONTACT INFORMATION (please type or print) Organization/company: Street Address: Province: Postal Code: Phone: E-mail:  TELL US ABOUT YOUR LEGAL ISSUE (please type or print) Does it involve employment? If so, explain: Do you have an agreement or contract? If so, please describe: Have you received any other legal advice? If so, please describe. CONFLICT OF INTEREST A lawyer may be unable to provide legal advice to you if he / she has a personal or professional conflict with your case. These situations arise if the lawyer (and/or his/her firm) represents the other party involved in your case, or if the lawyer has personal information about you or the other party. Other Party:  RELEASE (must be dated and signed in person, not typed) I (the above-named Applicant) do hereby remise, release and forever discharge the Alliance for Arts and Culture (the AAC) and its officers, directors, employees, contractors and volunteers from all actions, causes of action, suits, debts, dues, sums of money, claims and demands whatsoever at law or in equity which I may ever have against the AAC or its officers, directors, employees, contractors or volunteers by reason of any matter, cause or thing whatsoever arising from and out of my attending an Artists Legal Outreach (ALO) meeting at the offices of the AAC or my obtaining advice, information or materials during or in connection with an ALO meeting. Signed on _________________________, 200__ ______________________________________ Signature Privacy We respect your rights to privacy and confidentiality. 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