窪蹋勛圖厙

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窪蹋勛圖厙
Campus Safety

Vehicle Waiver and Release Form

I am requesting permission from 窪蹋勛圖厙 to park the vehicle described below on the 窪蹋勛圖厙 Campus during the period specified below. I am the registered owner of the vehicle, or affirm that I have the permission of the registered owner to leave the vehicle on campus for the period specified and that the vehicle remains insured the entire time the vehicle is on 窪蹋勛圖厙 campus. I completely and fully understand that 窪蹋勛圖厙 assumes no responsibility for safekeeping my vehicle during the below specified time period. I also understand that, should the need arise, 窪蹋勛圖厙 may move the vehicle with the key Ive provided. 

 

Vehicle Description

This will be verified by Campus Safety

Vehicle to be parked in: lower level of Northwoods parking lot

Emergency Contact Information



By putting your name in box below, you are acknowledging the terms and conditions of this waiver form and this will be considered your signature for this web-based form.