BOAT / RV STORAGE RELEASE FORM

HOLD HARMLESS RELEASE

To: Pend Oreille County and Pend Oreille County Fair Board

We, the undersigned owners of the below described personal property,
do hereby, in consideration of Pend Oreille County and the Pend Oreille
County Fair Board holding and storing the following items within buildings
on the Pend Oreille County Fairgrounds at Cusick, Washington for the
designated period, namely:

Item(s): __________________________________________________

From: October _______,___________ To: April _______,___________

Do release, discharge and forever hold harmless, Pend Oreille County and the
Pend Oreille County Fair Board from all claims of any type or nature arising
out of any loss or damage to said property while stored in or upon the above
referenced premises. Further, the undersigned hereby assumes all risk of loss
or damage to such articles in consideration of the benefit received.

The undersigned further acknowledges that storage of such items by
Pend Oreille County and the Pend Oreille County Fair Board is for the
convenience and the benefit of the undersigned, and that this agreement is
entered freely and voluntarily.

WITNESS OUR HANDS AND SEAL this ______ day of October ________.

NAME: ______________________________________________________

ADDRESS: __________________________________________________

                  ___________________________________________________

PHONE: _______________________________  UNIT NO: _____________

EMAIL: ______________________________________________________

SIGNATURE: __________________________________________________