I agree, under oath and penalty of all applicable laws, this is known to be A TRUE EMERGENCY.
I agree and declare all information entered in this form is to be true and factual.
I gree and undertand that by submitting this form, I claim all responsiblity for the information contained herein.
I agree and undertand that by submitting this form my signature becomes legal digital signature.
I agree of releasing all others harmless in their attempts to relay my emergency rescue request.