Payment Page — Redneck Rescue

Damage and Liability Waiver

Tow and Recovery Authorization and Damage Waiver

Name

First Name

Last Name

Upon signing this agreement, (PLEASE FILL OUT ABOVE) , am freely admitting that I have the legal right to authorize Redneck Rescue LLC to recover and tow my vehicle. I also agree and understand that circumstances outside Redneck Rescue LLC’s control, with regard to the accident involving my vehicle, may make recovery and removal unusually difficult and which may result in additional damage. Thus I unconditionally release, waive, and discharge my right, whether by contract or under operation of law to file cause of action(s) or claim(s) against either Redneck Rescue LLC and or its subcontractors and employees, now or in the future. I hereby assume any and all risk of loss, liability, damage or costs, and understand that any and all damages that may occur will be as result of the accident and not as a result of any negligence on the part of Redneck Rescue LLC, its subcontractors, or employees. I fully understand the terms set forth in this form, and I hereby waive my rights freely and voluntarily without any inducement, assurance, or guarantee being made to me to the fullest extent allowed by law. BELOW PLEASE PUT IN EMAIL FOR FUTURE AND TO REICEVE A COPY OF SIGNED WAIVER

EMAIL

Select

Your Location

GPS point

Phone

(###)

###

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Redneck Rescue LLC reserves the copyrights to all photo, video, and media obtained in the rescue. If you would prefer not to appear in social media, please say so to your rescue technician.