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Waiver of Liability

PLEASE READ THIS WAIVER CAREFULLY BEFORE SIGNING.

I realize that there are serious risks associated with the use of the recreational equipment being rented to me by Jamestown Outdoors (“Rental Equipment”), and I am fully aware of the possibility of serious injury or even death which could result from my use of the Rental Equipment, whether due to my own negligence, the negligence of a third party, an act of god, or otherwise.

I voluntarily assume any and all such risks of loss, damage, or injury of any kind from my use of the Rental Equipment or any activities stemming therefrom. I agree to indemnify and hold harmless Jamestown Outdoors and its owners, agents, contractors, and employees from any and all lawsuits, claims, costs, expenses, or demands, with respect to any injuries, including death, howsoever caused, in connection with my use of the Rental Equipment or any activities stemming therefrom.

Should any provision of this Waiver be deemed illegal or unenforceable, then it shall be severed and all other provisions will continue to remain in full force and effect. This Waiver shall continue to remain in full force and effect even after my death and shall be binding on all of my heirs, successors, assigns, and personal representatives.

By signing below, you acknowledge the following:

- I am in good health and have no physical conditions which would prevent me from safely using the Rental Equipment


- I am not under the influence of alcohol or any drug which would impair my ability to safely use the Rental Equipment, and I will not use alcohol or any such drugs during the rental period

- I know how to swim, if applicable

I ACKNOWLEDGE THAT I HAVE READ AND UNDERSTAND THE ABOVE TERMS.

First Renter's Name

First Name*

Last Name*

Phone*
First Renter's Date of Birth*
First Renter's Signature*
Second Renter's Name

First Name*

Last Name*
Second Renter's Date of Birth*
Third Renter's Name

First Name*

Last Name*
Third Renter's Date of Birth*
Fourth Renter's Name

First Name*

Last Name*
Fourth Renter's Date of Birth*
Fifth Renter's Name

First Name*

Last Name*
Fifth Renter's Date of Birth*
Sixth Renter's Name

First Name*

Last Name*
Sixth Renter's Date of Birth*
Seventh Renter's Name

First Name*

Last Name*
Seventh Renter's Date of Birth*
Eighth Renter's Name

First Name*

Last Name*
Eighth Renter's Date of Birth*
Ninth Renter's Name

First Name*

Last Name*
Ninth Renter's Date of Birth*
Tenth Renter's Name

First Name*

Last Name*
Tenth Renter's Date of Birth*
Renter's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check if you just want to hear what's going on with us and see if there are any deals
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
How did you here about us?
Ads
Web Search
Flyers
Newport Map Ad
Magazine Ad
Jamestown Maps
Local Paper
Other
Parent(s) or Court-Appointed Legal Guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Relationship*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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