Buckle & Bloom - Car Seat Cleaning Liability Release Form

Buckle & Bloom - Liability Release Form

Please read and acknowledge your responsibilities and the limitations of our service. Buckle & Bloom uses the utmost care making sure to use gentle products & safety measures.
Full Name

First NameLast Name
Email Address
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address for pick up

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Car Seat Brand and Model
Pick-up Time Slot
You will receive a 30 minute ETA text to ensure your seat is out & ready for no-contact pick up
Drop-Off Time Slot
You will receive a 30 minute ETA text to ensure your seat is out & ready for no-contact pick up
Liability Release Terms

1. Cleaning Service Only

Buckle & Bloom provides cleaning and cosmetic restoration services only. This service does not certify, inspect, guarantee, or verify the safety or crashworthiness of any car seat.

2. Installation Responsibility

I understand that I am solely responsible for the installation, adjustment, and use of my child’s car seat after cleaning services are completed.

Buckle & Bloom is not responsible for:

Improper installation
Incorrect harness adjustments
Future accidents or injuries
Misuse of the car seat

3. Manufacturer Guidelines

Buckle & Bloom will make reasonable efforts to follow manufacturer cleaning recommendations when available. However, I understand:

**Some stains or odors may not be fully removable
**Certain materials may discolor or wear over time
**Older or heavily soiled seats may react unpredictably to cleaning.

4. Limitation of Liability

To the fullest extent permitted by Texas law, I release and hold harmless Buckle & Bloom, its owner(s), employees, and contractors from any claims, damages, injuries, losses, or liabilities arising from:

Cleaning services
Use or misuse of the car seat
Installation after service
Undetected defects
Manufacturer defects
Future accidents or injuries

By signing below, you acknowledge and agree to these terms
Date

MonthDayYear
Date
Notes
Signature
Should be Empty:

Buckle & Bloom - Liability Release Form