PCD Liability Release Waiver

I blanks* for good and valuable consideration of which receipt is hereby acknowledged, specifically release, remise and forever discharge Park Central Development, Corp., its employees, servants, agents and/or assigns from any and all liability which may arise as hereinafter outlined, and my signature on this form further constitutes my acceptance and understanding of the terms, conditions and information contained herein.

I acknowledge that I understand and accept the potential risks of this installation service. I represent that I am of sound mind, competent, do not have any physical, mental or other impairments or disabilities that may affect my ability to make decisions. I specifically acknowledge that the following persons and/or entities, including but not limited to, Park Central Development Corporation, its owners, directors, administrators, employees, servants, agents and/or assigns are not responsible for any damage caused to my home during this installation. I specifically Release and Discharge those parties from any and all liability, whether known or unknown, even though the liability may arise out of the negligence or carelessness on the part of the persons or entities mentioned above. I agree to accept any and all responsibility for the risks, conditions and/or damage which may occur.*

YesNo

I understand I must be home during the installation.*

YesNo

I understand I must contact Ring for all device related and technical assistance questions. Park Central Development is only supplying the device and installation.*

YesNo

Would you like a free year subscription to Ring?*

YesNo

I have read, understand and voluntarily signed the release, waiver of liability and indemnity agreement, and further state that no oral representations, statements or inducements apart from the foregoing written agreement have been made.*

YesNo

“Photos or videos taken during installation may be published to our website, social media, or other material. Do you consent for images and/or videos of you to be marketing and/or promotional purposes?”*

YesNo

By signing below I acknowledge that I have read the foregoing Liability Release Waiver and understand its contents; that I am at least eighteen (18) years old and fully competent to give my consent; That I have been sufficiently informed of the risks involved and give my voluntary consent in signing it as my own free act and deed; that I give my voluntary consent in signing this Liability Release Waiver as my own free act and deed with full intention to be bound by the same, and free from any inducement or representation.

Name

First NameLast Name

Phone Number

Signature

Date Signed

Date