First Name

Last Name

Phone *

Email *

Address

Street Address

City

State

Postal Code

RV Year/Make/Model *

RV VIN *

RV License Plate # *

Acknowledgement of Risk *

The RV Owner acknowledges and agrees that storing an RV at Broken Wheel Campground LLC involves certain risks, including but not limited to, theft, vandalism, fire, flood, storm damage, rodent damage, acts of God, or other causes of damage or loss, and that the Storage Facility Owner does not and cannot guarantee the safety or condition of the RV while stored.

Release of Liability *

The RV Owner hereby voluntarily releases, waives, and discharges Broken Wheel Campground LLC, its agents, employees, heirs, and assigns from any and all liability, claims, demands, actions, or causes of action arising out of or related to any loss, theft, damage, or destruction to the RV or its contents while on the premises, whether caused by negligence, accident, or otherwise.

Insurance *

The RV Owner acknowledges that it is their sole responsibility to maintain adequate insurance coverage for the RV and any personal property stored inside. Broken Wheel Campground LLC does not provide insurance coverage for any RVs stored on the property.

Indemnification *

The RV Owner agrees to indemnify, defend, and hold harmless Broken Wheel Campground LLC from any claims or demands arising from the RV Owner’s use of the storage premises, including any damage caused by the RV to the facility or to other property stored on the premises.

Payment *

I understand that the storage fee is $50 per month, and I agree to keep a valid card on file for automatic billing. If a payment is declined or rejected, the card will be rebilled within 5 business days, and a returned-payment fee of $10 will be added to the amount due.

Termination *

Either party may terminate this agreement with written notice. Upon termination, the RV Owner must remove the RV within 3 days or may incur removal and/or storage fees.

Entire Agreement *

This document constitutes the entire agreement between the parties regarding the liability release. No oral representations or modifications shall be valid unless made in writing and signed by both parties.

Signature

Clear