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Tour & Rental Waiver

BEND ELECTRIC BIKES
BIKE AND EQUIPMENT RENTAL WAIVER AND RELEASE OF LIABILITY FORM


Rider (or legal guardian if Rider is a minor), states that Rider has read and understands this Waiver and Release of Liability Form of Blue Tile Fever Inc dba Bend Electric Bikes its owners, agents and employees ("Bend Electric Bikes") and hereby expressly accepts and agrees to the following:

Risk of Personal Injury. Rider understands that riding a bicycle or electric bicycle is an inherently dangerous activity. Risks include, but are not limited to: DEATH; INJURY TO BODY; DAMAGE TO BIKES, GEAR, AND CLOTHING; AND DAMAGE TO AND/OR
INJURY TO OTHERS.

Conditions and Representations. Rider has not made any misrepresentations to Bend Electric Bikes, including, but not limited to:
1. Rider agrees that Rider is fully responsible for all damage or loss to the rental bike and any equipment (the "Equipment") and agrees to pay for all repairs or replacement cost if the Equipment is lost, stolen, or damaged. Rider accepts the Equipment for use
"as is", and accepts full financial responsibility for the care of the Equipment while it is in Rider's possession; including flat tires, paint scratches. Please see staff for value of the rental equipment. By initialling below, rider acknowledges that rental equipment is in good working order, free of any known mechanical/electrical damage and will return equipment as such.


2. All instructions for the use of the Equipment have been provided to Rider and Rider fully understands how to use the Equipment.
3. Rider understands that wearing a helmet may decrease the risk of head injury. Rider has a helmet or Bend Electric Bikes has provided one to Rider and Rider agrees to wear a helmet at all times while biking and accepts any and all consequences of not wearing a helmet.
4. Rider agrees that the Equipment is working properly.
5. Rider is physically and mentally able to ride a bike and is familiar with bike riding, its physical and mental requirements, and risks involved.

Release of all Liability (Including Negligence). RIDER AGREES TO FULLY RELEASE AND DISCHARGE Bend Electric Bikes FROM ANY LIABILITY for any damages, injuries, or claims, including any injuries or damages to Rider or other person or property, as a result of Rider's rental of the Equipment and/or bike riding and Rider further understands and agrees to release Bend Electric Bikes for any negligence in causing in whole or in part any
such injury.

Express Assumption of Risks. RIDER EXPRESSLY ASSUMES ALL RISK OF LOSS, DAMAGE OR INJURY OCCURRING AS A RESULT OF BIKE RIDING.
Promise Not To Sue and Hold Harmless. RIDER FURTHER AGREES TO INDEMNIFY Bend Electric Bikes AND HOLD IT HARMLESS FOR ANY DAMAGES, INJURIES, OR CLAIMS, including attorney's fees and costs incurred by Bend Electric Bikes, as a result of Rider's
rental of the Equipment and/or bike riding. Rider agrees that Rider's obligation to indemnify and hold Bend Electric Bikes harmless applies even if Bend Electric Bikes are negligent. Rider understands this is a contract, which limits Rider's legal rights, and it is binding upon Rider and Rider's heirs, agents and legal representatives. If portions of this Waiver are invalid, it is agreed the remaining portions will remain intact and enforceable.
By submitting this online form you agree to this Waiver and Release of Liability, Rider acknowledges s/he has fully read and understands the above and foregoing.
Minors: Prospective Riders under the age of 18 years are required to have a parent or legal guardian read and also sign this Waiver and Release of Liability. The parent/guardian and Rider have read, understand and agree to comply with this Waiver and Release of Liability. By submitting this document online, the parent/guardian agrees to each of the provisions above.

First Rider Name

First Name*

Last Name*

Phone*
First Rider Date of Birth*
I certify that I am 18 years of age or older
First Rider Signature*
Second Rider Name

First Name*

Last Name*
Second Rider Date of Birth*
Third Rider Name

First Name*

Last Name*
Third Rider Date of Birth*
Fourth Rider Name

First Name*

Last Name*
Fourth Rider Date of Birth*
Fifth Rider Name

First Name*

Last Name*
Fifth Rider Date of Birth*
Sixth Rider Name

First Name*

Last Name*
Sixth Rider Date of Birth*
Seventh Rider Name

First Name*

Last Name*
Seventh Rider Date of Birth*
Eighth Rider Name

First Name*

Last Name*
Eighth Rider Date of Birth*
Ninth Rider Name

First Name*

Last Name*
Ninth Rider Date of Birth*
Tenth Rider Name

First Name*

Last Name*
Tenth Rider Date of Birth*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
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*
I certify that I am 18 years of age or older
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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