The Rock Staff: NO. SNOWBOARD RENTAL AGREEMENTAND RELEASE OF LIABILITY DATE: PLEASE READ AND SIGN ___/_ ___/_ 1. 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 possession. I will be responsible for the replacement at full value as determined _____ by The Rock, of any equipment rented under this form that is either (i) returned in a damaged condition or (ii) not returned. I agree to return all rental equipment on the agreed date. NUMBER OF RENTAL PACKAGES _________ DATE: _____/______/20______ NUMBER OF HELMETS __________ FEE: LAST NAME (PLEASE PRINT) 4. I understand that use of a helmet designed for recreational snow sports will help reduce the risk of some types of injuries to the user at slower speeds. I recognize that serious injury or death can result from both low and high-energy impacts, even when a helmet is worn. 5. I understand and am aware that using the equipment I have rented is inherently dangerous and involves inherent risks of injury to any and all parts of my body. I hereby freely and expressly assume and accept any and all risks of injury or death to the user of this equipment while participating in a snow sport. 6. I AGREE TO RELEASE The Rock Sports Complex, LLC (“The Rock”) and MKE Sports & Entertainment, LLC, its employees, owners, affiliates, agents, officers, directors, and the manufacturers and distributors of the equipment (collectively “Providers”) from all liability of injury, death, property loss and damage which results from the fitting, provision or use of the equipment rented under this form, even if such conduct by “the Providers” is negligent. FIRST NAME STREET ADDRESS CITY 2. I have made no misrepresentations to The Rock with regard to any information, which they have requested of me related to the rental and/or use of the equipment. 3. For Skiers, I understand that bindings may not release at all times or under all circumstances where release may prevent injury or death. It is not possible to predict every situation in which bindings will release. For Snowboarders, I understand that the snowboard has a NON-RELEASE BOOT RETENTION SYSTEM and, as a result, the boot retention system and operation of the equipment, there are inherent risks involved. I understand the equipment will NOT RELEASE during use, nor is it specifically designed to release as result of forces induced during ordinary operation, and is therefore absolutely no guarantee of my safety. This equipment-boot-binding system does not REDUCE THE RISK of injuries to any part of my body. $______________ STATE ZIP HOME PHONE EMAIL ADDRESS 1 FIRST NAME The Rock Staff: BOOT ID AGE BOOT SIZE 2 FIRST NAME The Rock Staff: BOOT ID AGE BOOT SIZE 3 FIRST NAME The Rock Staff: BOOT ID 7. I understand how to use the equipment safely. 4 FIRST NAME 8. I understand that I am free to sign this form at the set rental fees OR not sign this form and pay a premium rental fee. The Rock Staff: BOOT ID BOARD SIZE BOARD SIZE AGE BOOT SIZE BOARD SIZE AGE BOOT SIZE BOARD SIZE SHOE SIZE BOARD ID SHOE SIZE BOARD ID SHOE SIZE BOARD ID SHOE SIZE BOARD ID HEIGHT (Ft ‘In) WEIGHT (lbs) HELMET Size/ID HEIGHT (Ft ‘In) TECH INITIALS WEIGHT (lbs) HELMET Size/ID HEIGHT (Ft ‘In) TECH INITIALS WEIGHT (lbs) HELMET Size/ID HEIGHT (Ft ‘In) TECH INITIALS WEIGHT (lbs) HELMET Size/ID TECH INITIALS I, THE UNDERSIGNED, HAVE CAREFULLY READ AND UNDERSTAND THIS EQUIPMENT RENTAL AGREEMENT & RELEASE OF LIABILITY. DATED ______/_______/20______ IF RIDER IS A MINOR, PARENT OR GUARDIAN MUST SIGN. Parent/Guardian: If rider 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 rider. I and the minor agree to be bound by the terms and conditions of this agreement. RIDER’S SIGNATURE RIDER’S SIGNATURE RIDER’S SIGNATURE PARENT OR GUARDIAN SIGNATURE Notary: *Signature must be notarized unless Parent signs this form at the Park. SNOWBOARD
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