Addison Gilbert Hospital (Gloucester, Massachusetts)

I understand and agree that the sole purpose of this program is to help reduce the incidence of improper installation and/or use of child restraints and safety belts. I understand that this inspection is provided free for service to me; that this program and/or service cannot fully evaluate the quality, safety or condition of any child restraint or vehicle inspected; and that this program cannot guarantee my child’s safety as a passenger in a vehicle or during a collision or sudden stop. I understand that assistance and recommendations given to me by the program’s certified child passenger safety technicians regarding my child’s restraint use can help to reduce, but not eliminate the chance of my child being seriously injured or killed in a vehicle collision or sudden stop. By signing below I choose to voluntarily participate in the Beverly Hospital’s and/or Addison Gilbert Hospital’s child passenger safety program and release Beverly Hospital, Addison Gilbert Hospital, Northeast Health System, and Beth Israel Lahey Health and all employees and entities from any present or future liability for any injuries or damages that may result from a vehicle collision or during transportation of a child.