Loading...

Before reserving a spot for the use of Laundry Facilities during the Covid 19 Pandemic, you are required to complete this waiver.

To take advantage of laundry service necessitated by the COVID-19 outbreak (“Emergency Laundry Services”) and provided by Best Western Premier Squire Inn] (“Best Western”)  (“Undersigned”) consents to this “Waiver of Rights and Release Agreement” in consideration of the right to launder clothes and materials at the Best Western. Best Western agrees that the Emergency Laundry Services are needed because many residents of the community have no access to laundry facilities during the COVID-19 outbreak, and the Emergency Laundry Services are needed to mitigate the spread of the COVID-19 virus.

1. The Undersigned hereby RELEASES, WAIVES, DISCHARGES AND PROMISES NOT TO SUE the Best Western and their respective board, officers, agents, employees, volunteers, successors and assigns ( collectively the “Released Parties”) from any and all liability, claims, and demands of whatever kind or nature, either in law or in equity, which arise or may hereafter arise from my use of the Emergency Laundry Services.

2. The Undersigned is fully aware of the unusual risks involved and hazards connected with the COVID-19 outbreak and by exercising the right to use the Emergency Laundry Services I voluntarily elect to conduct this activity. 

3. By agreeing to the Terms and Conditions for Laundry Facility Use, the person reserving the laundry facility acknowledges that they have read the foregoing Waiver of Rights and Release Agreement and understands it and signs it voluntarily, and no oral representations, statements, or inducements, apart from the foregoing written agreement, have been made.

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email*

Confirm Email*
Agree to all Terms and Conditions
I VOLUNTARILY ASSUME FULL RESPONSIBILITY FOR ANY RISKS ASSOCIATED WITH THE EMERGENCY LAUNDRY SERVICES AND AGREE TO WAIVE AND HOLD HARMLESS THE RELEASED PARTIES IN CONNECTION WITH THE EMERGENCY LAUNDRY SERVICES. *
Yes
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver