If I begin failing the program because of an inability to discontinue drug or alcohol use, I may be given an opportunity: 1. Your computer must have the Adobe Acrobat Reader installed in order to view any of these documents.Title: Amendment to Standard Agreement Template for Substance Use Disorder and Recovery Services Residential Treatment and Withdrawal Management Services. I, have read, understood and signed the Student Agreement, Emergency and Medical form, Liability Waiver, Photo Release, Withdrawal and Refund Policy. 985 S. E Street San Bernardino, CA 92408. The. Termination of Guardianship – Parent Questionnaire form (San Bernardino County Local Form. Termination is the separation of employment from the County of San Bernardino for the reason of voluntary resignation, dismissal, layoff or retirement. The San Bernardino International Airport is a commercial airport certificated under Federal Aviation. Regulation Part 139. Required to execute the Agreement in Section VI, Form of Agreement.