{"content":[{"text":"TRIBUTARY RETREAT & TRAINING CENTER, INC. \n HEALTH AND SAFETY PLAN","bbox":{"left":0.188464,"top":0.088009,"width":0.6225700000000001,"height":0.05093}},{"text":"ACCEPTANCE FORM","bbox":{"left":0.367141,"top":0.180887,"width":0.265631,"height":0.027748999999999996}},{"text":"I am a guest of Tributary Retreat & Training Center, Inc. in Searcy","bbox":{"left":0.176503,"top":0.245059,"width":0.7058409999999999,"height":0.02435699999999999}},{"text":"County, Arkansas.","bbox":{"left":0.117686,"top":0.285665,"width":0.186902,"height":0.024357000000000018}},{"text":"I acknowledge that I have been presented with the Tributary Retreat","bbox":{"left":0.176503,"top":0.326461,"width":0.705579,"height":0.024357000000000018}},{"text":"& Training Center, Inc. Health and Safety Plan. I have read and understand","bbox":{"left":0.117686,"top":0.367067,"width":0.7649360000000001,"height":0.024357000000000018}},{"text":"the policy. I agree to comply with the provisions of the Health and Safety","bbox":{"left":0.117686,"top":0.407673,"width":0.7644780000000001,"height":0.024357000000000018}},{"text":"Plan and will conduct myself in a safe manner at all times.","bbox":{"left":0.117686,"top":0.448279,"width":0.5858710000000001,"height":0.024357000000000018}},{"text":"Printed Name: ______________________________________________","bbox":{"left":0.117686,"top":0.529668,"width":0.738178,"height":0.024356999999999962}},{"text":"Signature of Guest/Volunteer: ___________________________________","bbox":{"left":0.117686,"top":0.570274,"width":0.7534500000000001,"height":0.024356999999999962}},{"text":"Date Signed: ________________________________________________","bbox":{"left":0.117686,"top":0.611032,"width":0.7494190000000001,"height":0.024356999999999962}}],"images_bbox":[],"images_bbox_not_text_overlap":[]}