Release of Liability Please complete this form to secure your delivery slot (Regardless of Payment method) Release Of Liability Date(Required) MM slash DD slash YYYY Name(Required) First Last Email(Required) Delivery Address(Required) Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Phone(Required)Delivery Date(Required) Gate Code: (if required)Will you be on location during delivery?(Required) Yes No Will irrigation/septic tank be flagged off?(Required) Yes No Release Of Liability Acceptance(Required) By Submitting this form, I hereby release Roedell's Landscaping and/or Rock Springs Trucking from any and all responsibility of damage to sidewalks, driveways, ornamental objects, etc. when the driver is delivering materials. I also understand that deliveries of material can be heavy and involves the risk of damage to my property and expressly accept the risk of any and all such damages. It's the customer/homeowner's responsibility to make sure that the area is clear of any obstacles before we deliver any material. Δ THANK YOU!