Equipment Rental And Liability Release Agreement Form

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RENTAL FORM
Return equipment at 4 pm for day rental and 9 pm for night rental
Office use only:
Multi-week Program Dates Below. Office use only:
SKI # ___________
BOOT# ___________
Date Out: ________ Date Due: _________
Acknowledgement of Personal Information & Equip-
ment Instructions
Name: ____________________________________________
ALL INFORMATION IN THE GRAY
Street: ____________________________________________
AREAS MUST BE FILLED OUT.
City: ____________________ State: _______ Zip: ________
Downhill Skiing
Skier Type:
Phone: ______________ Local Accommodations.: ____________________
(Circle One
User Weight: ___________ lbs. User Height: ____ ft. ____in.
See chart for help)
User Birth Date: ____/_____/____
User Age: ______
I
II
III
Driver’s Lic. #
____________________ State ______
(Of parent or guardian if minor):
Vehicle make/model/color of the one you came in:
Snowboard
________________________________________________
Stance: (check one)
Information for emergencies
Regular Goofy
I have accurately represented the above listed information and it is true and correct. I will not use any of the equipment to be provided to me
during this transaction until I have received instruction on its use and I fully understand its use and function. I have verified that the visual indi-
cator settings to be recorded on this form for downhill ski equipment agree with the number appearing in the visual indicator windows of the
equipment to be listed on this form.
Sole Length & Synchro # (Downhill Skiing): ________________ / _________________Technician’s Signature: ____________________________________
Visual Indicator Settings:
Left Toe: _________ Right Toe: ________
Left Heel: _________ Right Heel: ________
EQUIPMENT RENTAL & LIABILITY RELEASE AGREEMENT
I accept for use AS IS the equipment listed on this form, and accept full financial responsibility for the care of the equipment while it is in my
Equipment User’s Signature: _________________________Parent/Guardian Signature (if user is minor): ______________________
possession. I will be responsible for the replacement at full value of any equipment rented under this form, but not returned to the shop in its
original condition for any reason. I agree to return all rental equipment by the agreed date and time.
I understand that the binding system cannot guarantee the user’s safety. In downhill skiing, the binding system will not release at all times or
under all circumstances where release may prevent injury or death that may result from equipment use, the binding system will not ordinarily
release during use; these bindings are not designed to release as a result of forces generated during ordinary operation. I understand that the
sports of skiing, snowboarding and other recreational activities involve inherent and other risks of INJURY and DEATH. I voluntarily agree to
expressly assume all risks of injury or death that may result from skiing/snowboarding/ or other equipment use.
I agree to release the ski/snowboard shop, Hoodoo Ski Area and its employees, owners, affiliates, agents, officers, directors and the manufactur-
ers and distributors of this equipment (collectively “PROVIDERS”) from all liability from injury, death, property loss and damage which re-
sults from the equipment user’s participation in the sport of skiing/snowboarding/other recreational activity, or is in any way related to use of
this equipment, including all liability which results from the negligence of providers, or any other person or cause. I further agree to defend and
indemnify PROVIDERS for any loss or damage, including any that results from claims or lawsuits for personal injury, death, and property loss
and damage related in any way to the use of this equipment.
This agreement is governed by applicable Oregon law. If any provision of this agreement is determined to be unenforceable, all other provisions
shall be given full force and effect. I, THE UNDERSIGNED, HAVE READ AND UNDERSTAND THIS EQUIPMENT RENTAL & LI-
ABILITY RELEASE AGREEMENT.
User’s Signature: ______________________________________________
Date: ______________
Parent/Guardian signature: If equipment user is a minor, I verify that I am the parent or guardian of the minor, and I have authority
to enter into this agreement on behalf of the equipment user and I agree to be bound by the terms and conditions of this agreement.
_____________________________ Date: _______________

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