Upon signing this document I am freely admitting that I have the legal right to authorize Purgatory Chains to recover and tow my vehicle. I also agree and understand that circumstances outside Purgatory Chains control, with regard to the accident involving my vehicle, may make recovery and removal of my vehicle unusually difficult. And 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) which I may have against Purgatory Chains 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 a result of the accident not as a result of any negligence on the part of Purgatory Chains.

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.

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 a result of chains provided by Purgatory Chains.

I understand that I will be financially responsible for reimbursing Purgatory Chains with a replacement if chains are returned damaged due to irresponsible driving or not following the instructions listed below.

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.