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This waiver is for the lessee who is renting/operting a bicycle.

November 16, 2019

     In consideration of being permitted to rent Bicycles & other from La Dolce Vita, releasor, for himself or herself and his or her personal representatives. heirs, and next of kin, releases, waives, discharges and covenants not to sue La Dolce Vita, its officersand members, and other parties such as: promoters, sponsors, advertisers, and their officers and emloyees, all referred to as releases, from all liability to the realesor, whether casued by negligence of releases or otherwise while the realesor is using any of the items referenced above which were rented from La Dolce Vita.

     Releasor agrees to indemnify the releases and each of them from any loss, liability, damage or cost releases may incur due to the use of rented Bicycles & other items from La Dolce Vita whether caused by the negligenceof the releases or otherwise.

     Releasor assumes full responsibility for and risk of bodily injury, death or property damage due to negligence of releases or otherise while using rented Bicycles and & other from La Dolce Vita.

     Releasor agrees that this release, waiver, and indemnity agreement is intended to be as broad and inclusive as permitted by the laws of the State of Florida and that if any portion of the agreement is held invalid, it is agreed that the balance shall, not withstanding, continue in full legal force and effect.

     Releasor being of lawful age, in consideration of being permitted to rent Bicycles & other from La Dolce VIta does for himself or herself, his or her heirs, executors, administrators, and assigns, now releaseand forever discharge La Dolce VIta, their heirs, administrators, and executors of and from any and every claim, demand, action or right of action, of whatsoever kind or nature, either in law or in equity arising from or by reason of any bodily injury or personal injuries known or unknown, death and/or property damage resulting or to result from any accident which may occur as a result of participation in using Bicycles & other rented from La Dolce Vita whether by negligence or not.

     Releaser further states that he or she has carefully read the above release and knows it contents of the release and signs the release as his or her own free act.  

     This release contains the entire agreement between the parties to this agreement and the terms of this release are contractual and not a mere recital.

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
I certify that I am 15 years of age or older
First Participant's Signature*
Second Participant's Name

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

Email*

Confirm Email*
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Helmet option
Helmet rentals are optional. Should you want to add the rental of helmets with your bikes, each helmet will be an additional $5.**
I would like to rent a helmet(s) with my bike, for an additional $5 each.
I would NOT like to rent a helmet.
Local Address

Condo/House Name and Address *

Unit #

City

Local Phone # *
Date of Rental

Rental Start Date *

Rental Return Date *
Additional Renters

Additional Renter #1

Additional Renter #2

Additional Renter #3

Additional Renter #4

Additional Renter #5

Additional Renter #6

Additional Renter #7

Additional Renter #8

Additional Renter #9

Additional Renter #10
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 15 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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