CODERED DO NOT CALL RELEASE FORM

 

I am aware that the City of Avon has subscribed to an alert system known as CodeRED.  The City of Avon may use the alert system to communicate with the public in cases where prompt notice to protect life, health or property is advantageous.

 

I acknowledge that the alert system known as CodeRED is provided by the City of Avon and is provided as a service to the residents by the City of Avon.

 

As such, the City of Avon, its officers, agents and employees enjoy immunity when providing the CodeRED alert system services.

 

I choose to be placed on the DO NOT CALL list for all CodeRED alerts issued by the City of Avon.  By signing this release, I waive all claims against the City of Avon and CodeRED, their officers, agents and employees in the event that members of my household, my property or myself are adversely affected in the absence or timely notice of any event.

 

 

Name: _________________________________________________________________

 

 

 

Address:________________________________________________________________

 

 

Telephone number (s): _____________________________________________________

 

 

Names of others residing at the above residence:

 

 

 

 

Signature:                                                        Date:

 

 

 

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