I, the undersigned, have requested services to be performed. A description of work to be performed, as authorized by me, is listed on the google form.  I understand that all repair work will be performed by students of Chattahoochee County Middle High School as part of training and/or coursework and not acting as an employee, agent, or representative of the school.  I understand that CCMHS, its administration, faculty, students or employees  make no warranties or representations, express or implied, as to the repair work being performed. However, it is the intent of the CTAE Automotive class to maintain high work standards for its students and ensure the training objectives are met through correct services and repairs.

I understand that CCMHS has sponsored or made available the equipment, facilities, grounds, and/or personnel for the performance of the aforementioned service and for consideration of such and other good and valuable consideration, I hereby agree to hold harmless and indemnify CCMHS, its administration, faculty, students or employees  for any damage to or loss of my property, financial obligations incurred, personal injuries or death or other harm, including those that may occur as a result of sole negligence or wrongdoing by  faculty, students or employees  of CCMHS. I understand that  CCMHS will not assume any liability for damage to or loss of my property, including that which is due to fire or theft, or for financial obligations incurred by me. I also agree to give up any rights I, my heirs, representatives, attorneys, successors and assigns may otherwise have to sue or otherwise bring claims arising from the work performed on my property.

 I understand that the cost of all parts necessary to complete the authorized work will be paid by me.  The Instructor reserves the exclusive right to stop work at any time and/or determine when the repairs have been completed.

I HAVE READ THIS AGREEMENT, HAVE SIGNED IT FREELY AND UNDERSTAND THAT BY DOING SO I HAVE GIVEN UP SUBSTANTIAL RIGHTS.  I INTEND THIS TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT PERMITTED BY LAW.


For automotive requests only: I understand that I must be the registered owner of the vehicle; possess a current vehicle license plate; and provide current proof of insurance on the vehicle prior to any work being performed.