Dream Limousine Service
www.209limo.com
Limousine Service
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TCP-19918 High School Prom / Formal Release and Indemnity Agreement Dream Limousine Service is delighted in the fact you have chosen this safe and responsible form of transportation for your son or daughter. Prom night is a special time; an evening filled with anticipation, excitement, and a memorable evening for your child’s high school year. For your child’s safety and your peace of mind, a couple of rules are set forth and must be agreed to by all parents and students: Rules of the Road 1. The solid and glass divider between the driver and near passenger compartment will remain down at all times. 2. There will be no smoking, no drinking alcohol, no illegal drugs, and no weapons of any kind, no intimate relationship or misconduct, and or any body parts out of the windows of said vehicle. 3. The possession and consumption of any alcoholic beverage by a minor is against the law. By signing your name below, you agree that there will be NO alcoholic beverages consumed or transported in the limousine. If at any time during the limousine ride any student is suspected of, or witnessed to have consumed, or found in the possession of any illegal substance, including alcohol or drugs; The Driver will immediately terminate the limousine ride. The Driver will notify the consenting parent that a violation of the rules has occurred and ALL vehicle occupants (students) will be returned to the consenting parent /Guardian’s home address. All monies paid, including chauffeur gratuity shall be forfeited. On behalf of my child and myself each of the undersigned hereby: 4. Waive, release, and discharge Dream Limousine Service, its employees, agents and contractors, from any and all claims relating to my or my child’s participation in prom activities and limousine service provided by Dream Limousine Service. 5. Assume any and all risks of property damage to the vehicle, and release and hold harmless Dream Limousine Service from any all liability for personal or property damage except due to Dream Limousine Service gross negligence or intentional acts; 6. Indemnify and hold Dream Limousine Service harmless from any loss, liability, damage, cost or expense, including litigation, which may incur as a result of any personal or property damage which my child participated in while in the vehicle; Reimburse Dream Limousine Service for any loss or damage or cost Dream Limousine Service may incur due to the vehicle not being able to be returned to service. I have carefully read this Release and Indemnity Agreement and fully understand its contents. I am aware that this is a release of liability and a contract between myself and Dream Limousine Service, and that I sign it of my own free will. Parents Name_____________________________ Parents Signature ____________________________ Cell Phone: _______________________________Home Phone Number: _________________________ Student Name: ____________________________Student Signature_____________________________ Student Name: ____________________________Student Signature_____________________________ Student Name: ____________________________Student Signature_____________________________ Student Name: ____________________________Student Signature_____________________________ Student Name: ____________________________Student Signature_____________________________ Student Name: ____________________________Student Signature_____________________________ Student Name: ____________________________Student Signature_____________________________ Student Name: ____________________________Student Signature_____________________________ Student Name: ____________________________Student Signature_____________________________ Student Name: ____________________________Student Signature_____________________________ Student Name: ____________________________Student Signature_____________________________ Student Name: ____________________________Student Signature_____________________________ Student Name: ____________________________Student Signature_____________________________ Student Name: ____________________________Student Signature_____________________________
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