Vehicle/Property Damage Waiver Form
By participating in this event, attendees acknowledge and agree that Central Illinois Notary & Imaging is not responsible for any damages, injuries, or losses that may occur. Participants assume all risks associated with the event and agree to hold Central Illinois Notary & Imaging harmless from any claims arising from their involvement.
Full Name
First Name
Last Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.
Vehicle Make and Model
Vehicle License Plate Number
Date of Event
-
Month
-
Day
Year
Date
Vehicle Damage Waiver Agreement
*
I agree to waive any claims for damages to the vehicle and/or property for the event purposes.
I understand and agree that I am solely responsible for any loss of or damage to my personal property. I will not hold Central Illinois Notary & Imaging, its owners, employees, sponsors, partners, or affiliates liable for any loss, theft, or damage that may occur.
Signature
*
Submit
Submit
Should be Empty: