Vehicle Shuttle Form Rimrock Adventures printable pdf download

927 Hwy 340 Fruita, CO 81521

Phone 970-858-9555 Fax 970-858-9465

Form # __________

(Office use only)

Launch

Date: ____________________ Time: _______________ Location: __________________________

(Vehicle Ready for TRANSPORT)

Take Out

Date: ____________________ Time: _______________ Location: __________________________

Where is the key?

Rimrock Office

Rimrock Drop box

Other _______________________

Hidden on Vehicle, where ___________________________________________________________

Do you want your vehicle locked? Yes

Do you have the second key? Yes

Where do you want the key after drop-off? _____________________________________________

Vehicle Description:

Name: ____________________________________

Color ____________ Make _____________

Address: __________________________________

Year ____________ Model _____________

City: ________________ State/Zip: ____________

License Plate # _____________ State _____

Email: ____________________________________

Cell Phone: ________________________________

Trailer? Yes

Name of Permit Holder: ______________________

I CERTIFY: The key I have given to RRA will lock, unlock and start the described vehicle. __________

I CERTIFY: The vehicle is in safe and legal working order. __________

ACKNOWLEDGMENT OF RISK AND WAIVER OF LIABILITY

I, the undersigned vehicle owner/agent or authorized user of vehicle, am aware that an agent or employee of Rimrock Adventures will be driving the vehicle from

the specified destination (“shuttling”). I am aware that the roads in the area may be rough and poorly maintained and the roads may include danger beyond the

danger beyond the control of the drivers. I acknowledge and accept that shuttling includes the following non-exhaustive list of risks and dangers to the vehicle:

vehicle damage from hitting wild game, driving on rough roads, being hit by falling debris and possible chips to windshields. I understand that these risks arise

from the areas mountainous roads. I understand that these dangers are from natural obstacles rather than driver error.

I, voluntarily accept full responsibility for any loss, property damage, and all other damages that may be sustained by the vehicle, including without limitation loss

or damage to property such as vehicle repairs of any kind.

In consideration of Rimrock Adventures shuttling, I voluntarily consent to and accept all risks associated with participation. I agree to forever indemnify, defend,

save, hold, harmless, discharge and release Rimrock Adventures shuttles and their agents and employees (“Releases”) from any and all liability, claims, causes of

action or demands of any kind and nature whatsoever, including attorneys fees incurred by Releases, that may arise from Releases’ negligent conduct or from my

own negligent or intentional conduct in connection with the vehicle to be shuttled.

It is my express intent that this Acknowledgment of Risk and Waiver of Liability shall serve as a release, discharge and acceptance of risk for my heirs, estate,

executor, administrator, assigns and all members of the vehicle owner’s family.

If my vehicle becomes disabled or unsafe/unlawful to drive, I authorize Rimrock Adventures to act as indicated below to remedy the situation. I am responsible for

all expenses associated with towing and/or repairing the vehicle.

If my vehicle or trailer becomes inoperable:

1._____ Tow and repair. Limit my expenses to______.

2._____Tow my vehicle to Rimrock and do not repair.

Signature: ___________________________________________________ Date: _______________

Special Instructions:

Driven By ________________________

(Office use only)