Dive Equipment Rental Agreement Form With Liability Release And Express Assumption Of Risk
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This agreement is between Bayplay Dive Resort and RENTOR:
First Name: ________________________________Surname: ____________________________________
Address: ______________________________________________________ Postcode: ______________
City: __________________________________ State: _________________Country: ______________
Phone number: Home__________________Work___________________Mobile____________________
E-mail Address: _________________________________________________________________________
Emergency Contact Name: _____________________________Ph: _______________________________
Licence/Passport ID#_____________________________________________________________________
CERTIFIED DIVERS SECTION:
Cert Level: _________________ Date: _______________ Student Number: _______________________
No of Dives: ________Date last dived: __________________ Diving Exp(Trop/Temp): ______________
Log/card sighted (Bayplay Staff): _______________________________ Date: __________________
*PLEASE NOTE: Divers hiring gear for own use must return gear by 5.30pm. A late fee may be charged otherwise
Items:
Code/Number
No of items
Price
Returned
BCD
……………
x _____ $
Regs
……………
x _____ $
Wetsuit
……………
x _____ $
Mask/Snork …………..
x _____ $
Fins
……………
x _____ $
Tank
……………
x _____ $
WeightBelt ………… # of weights……
x _____ $
Other
………….
x _____ $
Other
………….
x _____ $
Total $_______________ Method:___________________Date: ___________________
Credit Card #___________________________________________________expiry___________
Office Use:
NB:……… Checked out by:____________DT:………… Checked in by:___________________
RENTOR hereby acknowledges receipt of the equipment designated in this form, and, if any of this equipment is to be used for scuba diving, that
RENTOR is a certified scuba diver or student in a scuba diving course/ program under supervision of a certified scuba instructor.
RENTOR acknowledges that the equipment is in good working condition and that he/she has examined the equipment to ensure that it is free from
defects, including checking both the quality and quantity of air in any scuba tank(s) rented. If there are any defects the RENTOR agrees to inform
Bayplay prior to use.
RENTOR understands that Bayplay Dive Resort and its employees, owners, officers, or agents (hereinafter “Released Parties”), shall not be held liable or
responsible in any way for injury, death or other damages to RENTOR or his/her family, heirs, or assigns which may occur as a result of the rental and/or
use of the equipment, or as result of product defect, or the negligence of any party, including the Released Parties.
RENTOR acknowledges that any damage or loss sustained to equipment as a result of the RENTOR’S actions, environmental conditions, or at any time
whilst equipment is in RENTOR’S possession, whether supervised or unsupervised, will incur cost in compensation for the repair or replacement of items
I HAVE CAREFULLY READ AND UNDERSTAND THE ABOVE AGREEMENT. BY SIGNING THIS AGREEMENT, I EXEMPT AND RELEASE
BAYPLAY, AND ALL RELATED ENTITIES AS DEFINED ABOVE, FROM ALL LIABILITY OR RESPONSIBILITY WHATSOEVER FOR
PERSONAL INJURY, PROPERTY DAMAGE, OR WRONGFUL DEATH AS A RESULT OF RENTING AND/OR USING THE EQUIPMENT,
HOWEVER CAUSED, INCLUDING, BUT NOT LIMITED TO PRODUCT LIABILITY OR THE NEGLIGENCE OF THE RELEASED PARTIES,
.
WHETHER PASSIVE OR ACTIVE
Participant’s Signature____________________________________________Date_________________
Signature of Parent/Guardian (if applicable) ___________________________Date ______________
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