Order Confirmation Page
1. Please fill out the form below so I know how many units you want, where to ship it, and how you want to sign the Waiver Form (fax, email, or "E-sign")
2. Who must sign Waiver Form? Anyone who will have access and might possibly drive the car(s) in which the unit(s) will be installed and drive with your children, including your spouse/partner, babysitters, relatives MUST SIGN. In addition, you yourself must sign even if you are not buying for yourself but as a gift. You can preview what you will be signing by scrolling down to the bottom of this page.
3. After I get your signed Waiver Form back, I will send you the credit card payment page. If you are looking at this page, it means you ordered before May 15th when there was still a special "early bird" pricing offered on 2 or more unit orders. So to confirm, the price is $29.99 with $4.00 shipping for 1 unit, $49.99 for 2 units with $4.00 shipping in continental U.S., $74.99 for 3 units plus $4.00 shipping in continental U.S., and $99.99 for 4 units plus $4.00 shipping in continental U.S.
BACKSEAT BABY ALARM USER AGREEMENT AND WAIVER OF LIABILITY
1. Understand product is new and untested: I understand I am purchasing and using a new invention which has not been tested or used in a large scale way under different conditions. I freely purchase and/or install and use the Backseat Baby Alarm knowing it may prove to be unreliable, have mechanical or design defects, or suddenly fail to perform as advertised or intended without warning. I understand that the Backseat Baby Alarm does not and cannot guarantee protection against forgetting a child in a vehicle and that it does not make any claims that it will be effective to any degree in doing so.
I have been forewarned that the inventor can think of at least 5 things that might happen that if they did, could cause the unit to malfunction or be turned off while I am driving to my destination and as a result, the unit failing to chime at the critical moment needed when I arrive and exit the vehicle. This includes firstly, no “low battery” indicator so the product could shut off suddenly without warning driving due to the batteries dying. 2nd, any of the three door opening sensors or magnets could lose adhesion and drop off or be pulled or tugged out of place by someone’s brushing against the sensor or a lead wire with their shoe or leg, an object being dropped on it, or someone fiddling around with it, etc or similarly, one of the five lead wires being broken accidentally while I am driving. 3rd, ambient noise could drown out any of the reminder chimes or sounds produced by the product to a point where the sounds are inaudible or otherwise fail to capture my attention. 4th, a passenger (such as an older sibling) could play with or accidentally hit the “Off/Sleep” switch and turn off the unit while I am driving without me realizing. 5th, extreme temperatures could damage the components and cause it to malfunction.
2. Will not rely on to be prompted: I agree that I, and not the Backseat Baby Alarm, am solely responsible for remembering and retrieving the child(ren) from the backseat and will not rely on it to prompt me to do so. I also agree not to treat the Backseat Baby Alarm as an insurance policy or substitute for my own responsibility of retrieving the child(ren) before leaving the vicinity of the vehicle.
3. I hereby waive and release Joseph Dorsey and Backseat Baby Alarm from any claims that might arise in conjunction with installation and use of the Backseat Baby Alarm, including but not limited to bodily and/ or personal injury and/or death. I agree that any recovery of damages against Joseph Dorsey or Backseat Baby alarm for failure of the product is limited to the amount that was paid for the product. Furthermore, I agree that the venue for any legal action related to the Backseat Baby Alarm shall be in the County or District Court of Kenton County, KY, or if federal jurisdiction is mandatory, in the U.S. District Court for the Eastern District of Kentucky.
4. Fresh Brand Name Alkaline Batteries: I agree to install fresh, Ray-O-Vac, Everready, Duracell, Energizer, or Pansonic brand alkaline batteries from first use of the product.
5. Will only use in my own vehicle I agree to only install and use the Backseat Baby Alarm in my own personally owned vehicle(s). I understand I have the right to give or sell the Backseat Baby Alarm to someone else as a gift or otherwise under the conditions of #7 below.
6. Will get other drivers of my vehicle to sign this agreement. I agree to obtain the signature of any other person who drives my vehicle (such as my spouse, other parent of my child, relative, friends, babysitters, etc.) on this User Agreement and Waiver of Liability before he or she drives my vehicle with the Backseat Baby Alarm installed and children along. Furthermore, if I fail to obtain said signatures and in the event any lawsuit or other claim is filed or made by such persons against Joseph Dorsey or Backseat Baby Alarm relating to the Backseat Baby Alarm, I agree to be solely responsible for and indemnify, save, defend, and hold Joseph Dorsey and Backseat Baby Alarm against all such claims including payment of all damages, expenses, costs, and attorney’s fee incurred in response to the claim or lawsuit.
7. Conditions on giving to other person (as gift or otherwise): I agree to not give or sell any Backseat Baby Alarm units to anyone without first obtaining the written permission of the inventor. Joseph Dorsey the inventor agrees to give such permission when the person(s) to whom you intend to give the unit to provide(s) him with an acceptable signed copy of this User Agreement and Waiver of Liability. Furthermore, I agree that if I fail to obtain said permission and in the event any lawsuit or other claim is filed or made by someone who I gave the unit to without said permission against Joseph Dorsey or Backseat Baby Alarm relating to the Backseat Baby Alarm, I agree to be solely responsible for and indemnify, save, defend, and hold Joseph Dorsey and Backseat Baby Alarm against all such claims including payment of all damages, expenses, costs, and attorney’s fee incurred in response to the claim or lawsuit.
8. Will give notice of any problems, dissatisfaction, or ineffectiveness: I will make a sincere effort to timely contact the inventor Joseph Dorsey by email to jdorseyremax@yahoo.com or phone at 859-620-3331 if I have reason to believe the Backseat Baby Alarm unit(s) I am using failed mechanically or perceive it is not being effective in reminding me of the presence of a child in the backseat.
Name &
Address to ship to:
Email:
Phone #:
Number of Units:
What is E-signing?
As you might know, I am a real estate agent. We use a system called "Authentisign" for getting "E-signatures" on contracts through a person's email. With it, you can sign right on your computer. I just need to know the names and e-mails of the persons that will be signing. You won't need or download any special software. You will receive an "Invitaiton to Sign from Authentisign" in your e-mail. It will lead you through it but in a nutshell, you just do the usual "choose a username and password" and after that, you will be done in about 30 seconds.
Very easy to use, very convenient.
ORDER CONFIRMATION FORM
(If "E-Signing", please write the names of all potential drivers
and their E mail addresses. See box to right for brief description
of "E-signing")
Any message, questions, etc., please write here:
(will only call if need to clarify something)
Please indicate how would you like to sign and return Waiver Form:
How would you like to sign the Waiver Form?
(Click yellow button to print a copy)
If buying any of the units as a GIFT, please indicate how would you like to have the recipient sign the Waiver Form:
(Click yellow button above to print out a copy)
Names of drivers who will "E-Sign"
(Click orange button at right to print out a copy)
Giving as a baby shower gift, etc?
I made a "Gift Certificate" form you can print out if giving as a gift. Click the orange button above to preview. As you can see, the recipient "redeems" their gift certificate by going to the website and filling out their information. When they do, I will let you know and ask for payment. That way if for some reason the intended recipient doesn't redeem it, you won't be charged
(If "E-Signing", please write the names of the drivers
and their E mail addresses. See box to right for
brief description of "E-Signing)
If giving the unit as a gift, you will not need to pay until I let you know that the recipient has sent back the signed Waiver Form.
If buying as a gift, how would you like recipient to sign Waiver Form?
Their E Mail:
Names of drivers who will "E-Sign"
Their E Mail:
