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Release of Liability
Village Sport Shop
Bicycle Rental

Today's Date: September 18, 2020

I accept for use, as is, the equipment listed on this form and accept full responsibility for its care while it is in my possession. I agree to hold harmless and indemnify Village Sport Shop for all loss or damage I may have caused to this equipment, except for reasonable wear and tear to the equipment.

I agree to hold harmless and indemnify Village Sport Shop and its owners, agents, and employees, as well as the equipment manufacturers and distributers, for any and all loss or damage I may cause to person or property while engaged in bike related activities. This includes, but is not limited to, any and all claims for personal injury, death and/or property damage that may arise out of the use of this bike, its equipment, or any equipment, regardless of whether such loss or damage be caused to myself or to others.

I hereby release Village Sport Shop and all its owners, agents and employees, from any and all liability for damage and personal injury to me or my property resulting from Village Sport Shop's own acts of negligence.I understand that Village Sport Shop and its owners, agents and employees, are not responsible for the consequences of their own negligence, that is, their failure to use reasonable care in the operation of this bike. I acknowledge that I am freely and expressly assuming and accepting any and all risks of property damage, personal injury or death as the user of this equipment.

I understand and am aware that biking is a HAZARDOUS ACTIVITY. I understand that biking involves a risk of injury to any and all parts of my body. I hereby freely and expressly assume and accept responsibility for any and all risks of injury or death while participating in this activity.

I understand that it is not possible to predict every situation and condition of the terrain the bike will be ridden on; therefore, it is impossible to guarantee the bike I use will react safely in all riding conditions.

I realize it is mandatory that I wear a helmet at all times while biking and that I obey all trail signs and remain only on open trails. If I am observed not wearing my helmet my pass may be revoked without reimbursement.

I have read the above paragraphs and fully understand them. I have made no misrepresentation to Village Sport Shop regarding my name, address or age.

This agreement is governed by the applicable law of Vermont. If any part of this agreement is determined to be unenforceable, all other parts shall be given full force and effect. I agree that there have been no warranties, expressed or implied, which have been made to me which extend beyond the descriptions of the equipment listed on this form. I, the undersigned, acknowledge that I have carefully read this agreement and release of liability and I understand its contents. I understand that my signature below expressly waives any rights I may have to sue Village Sport Shop for injuries and damages.

First Rider's Name

First Name*

Last Name*

Phone*
First Rider's Date of Birth*
First Rider's Information

Date Out:

Date Back:
Riding Ability:*
Damage Waiver: *
Hardtail ($5)
Full Suspension ($10)
Premium Full Suspension ($15)
Fat Bike ($10)
Kids ($5)
No Thanks!

This waiver covers renters liability in the event of damage during normal use, and does not include willful damage, loss or theft of equipment.  Normal use excludes competitive riding/racing and lift/shuttle access riding.

First Rider's Signature*
Second Rider's Name

First Name*

Last Name*
Second Rider's Date of Birth*
Second Rider's Information

Date Out:

Date Back:
Riding Ability:*
Damage Waiver: *
Hardtail ($5)
Full Suspension ($10)
Premium Full Suspension ($15)
Fat Bike ($10)
Kids ($5)
No Thanks!

This waiver covers renters liability in the event of damage during normal use, and does not include willful damage, loss or theft of equipment.  Normal use excludes competitive riding/racing and lift/shuttle access riding.

Third Rider's Name

First Name*

Last Name*
Third Rider's Date of Birth*
Third Rider's Information

Date Out:

Date Back:
Riding Ability:*
Damage Waiver: *
Hardtail ($5)
Full Suspension ($10)
Premium Full Suspension ($15)
Fat Bike ($10)
Kids ($5)
No Thanks!

This waiver covers renters liability in the event of damage during normal use, and does not include willful damage, loss or theft of equipment.  Normal use excludes competitive riding/racing and lift/shuttle access riding.

Fourth Rider's Name

First Name*

Last Name*
Fourth Rider's Date of Birth*
Fourth Rider's Information

Date Out:

Date Back:
Riding Ability:*
Damage Waiver: *
Hardtail ($5)
Full Suspension ($10)
Premium Full Suspension ($15)
Fat Bike ($10)
Kids ($5)
No Thanks!

This waiver covers renters liability in the event of damage during normal use, and does not include willful damage, loss or theft of equipment.  Normal use excludes competitive riding/racing and lift/shuttle access riding.

Fifth Rider's Name

First Name*

Last Name*
Fifth Rider's Date of Birth*
Fifth Rider's Information

Date Out:

Date Back:
Riding Ability:*
Damage Waiver: *
Hardtail ($5)
Full Suspension ($10)
Premium Full Suspension ($15)
Fat Bike ($10)
Kids ($5)
No Thanks!

This waiver covers renters liability in the event of damage during normal use, and does not include willful damage, loss or theft of equipment.  Normal use excludes competitive riding/racing and lift/shuttle access riding.

Sixth Rider's Name

First Name*

Last Name*
Sixth Rider's Date of Birth*
Sixth Rider's Information

Date Out:

Date Back:
Riding Ability:*
Damage Waiver: *
Hardtail ($5)
Full Suspension ($10)
Premium Full Suspension ($15)
Fat Bike ($10)
Kids ($5)
No Thanks!

This waiver covers renters liability in the event of damage during normal use, and does not include willful damage, loss or theft of equipment.  Normal use excludes competitive riding/racing and lift/shuttle access riding.

Seventh Rider's Name

First Name*

Last Name*
Seventh Rider's Date of Birth*
Seventh Rider's Information

Date Out:

Date Back:
Riding Ability:*
Damage Waiver: *
Hardtail ($5)
Full Suspension ($10)
Premium Full Suspension ($15)
Fat Bike ($10)
Kids ($5)
No Thanks!

This waiver covers renters liability in the event of damage during normal use, and does not include willful damage, loss or theft of equipment.  Normal use excludes competitive riding/racing and lift/shuttle access riding.

Eighth Rider's Name

First Name*

Last Name*
Eighth Rider's Date of Birth*
Eighth Rider's Information

Date Out:

Date Back:
Riding Ability:*
Damage Waiver: *
Hardtail ($5)
Full Suspension ($10)
Premium Full Suspension ($15)
Fat Bike ($10)
Kids ($5)
No Thanks!

This waiver covers renters liability in the event of damage during normal use, and does not include willful damage, loss or theft of equipment.  Normal use excludes competitive riding/racing and lift/shuttle access riding.

Ninth Rider's Name

First Name*

Last Name*
Ninth Rider's Date of Birth*
Ninth Rider's Information

Date Out:

Date Back:
Riding Ability:*
Damage Waiver: *
Hardtail ($5)
Full Suspension ($10)
Premium Full Suspension ($15)
Fat Bike ($10)
Kids ($5)
No Thanks!

This waiver covers renters liability in the event of damage during normal use, and does not include willful damage, loss or theft of equipment.  Normal use excludes competitive riding/racing and lift/shuttle access riding.

Tenth Rider's Name

First Name*

Last Name*
Tenth Rider's Date of Birth*
Tenth Rider's Information

Date Out:

Date Back:
Riding Ability:*
Damage Waiver: *
Hardtail ($5)
Full Suspension ($10)
Premium Full Suspension ($15)
Fat Bike ($10)
Kids ($5)
No Thanks!

This waiver covers renters liability in the event of damage during normal use, and does not include willful damage, loss or theft of equipment.  Normal use excludes competitive riding/racing and lift/shuttle access riding.

Rider'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 to receive information, news, and discounts by e-mail.
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*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information

Date Out:

Date Back:
Riding Ability:*
Damage Waiver: *
Hardtail ($5)
Full Suspension ($10)
Premium Full Suspension ($15)
Fat Bike ($10)
Kids ($5)
No Thanks!

This waiver covers renters liability in the event of damage during normal use, and does not include willful damage, loss or theft of equipment.  Normal use excludes competitive riding/racing and lift/shuttle access riding.

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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