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VEHICLE UNLOCK RELEASE AND INDEMNIFICATION

As the owner or lawful custodian of the vehicle described on this form, I request the Baraboo Police Department attempt to unlock said vehicle. I understand that this procedure may cause damage to said vehicle and with this understanding, I hereby release and agree to indemnify and save harmless the Baraboo Police Department, the City of Baraboo, and all of its officers, employees and agents from this procedure. I represent that I am authorized to grant this release and indemnification and understand the officer is relying on this release and indemnification in undertaking this procedure. Additionally, I am informed that a $10.00 fee is charged for this service when the attempt to unlock is successful. I agree to remit payment within 10 days. Persons under 18 must be the registered owner of said vehicle and must also sign the following certification

Full Name

Full Address

Full Date

Vehicle Information

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