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Town of Amherst Parks and Recreation Equipment Rentals
Liability Release Forms

Release of Liability/Assumption of Risk/Rental Agreement

In consideration for being allowed to rent a BOAT for the purpose of recreational enjoyment, I the undersigned Lessee: 

  1. Accept this property for my use “as is,” and assume full responsibility for my use of it.  I also agree to return this property by the specified time or to pay for overtime at the posted rate.  I further agree to be liable for the retail cost of repair or replacement should I not return it in “as is” condition.
  2. Confirm that I have been advised as to the general qualifications for using this equipment properly and that I am so qualified.  I further confirm that I will not use the equipment for other than the intended purpose nor allow anyone else to use it for any purpose.
  3. Understand and agree to abide by all posted or otherwise written terms and conditions for use of this equipment.
  4. Acknowledge, appreciate, and agree that there are risks of injury from boating activities, which injury could be serious, even fatal, and I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, including but not limited to unknown water currents and water depths, unknown obstructions both known and unknown above and below the water surface, water temperatures, and weather, EVEN IF ARISING FROM THE NEGLIGENCE OF THE LESSOR.
  5. For myself and on behalf of my heirs, assigns, and next of kin, HEREBY RELEASE, HOLD HARMLESS, AND INDEMNIFY THE TOWN OF AMHERST AND THE AMHERST PARKS AND RECREATION DEPARTMENT, their officers, agents, and/or employees, WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to property, WHETHER ARISING FROM THE NEGLIGENCE OF THE LESSOR OR OTHERWISE.  
  6. HAVE READ THIS RELEASE OF LIABILITY AND AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT INDUCEMENT.  

​DATE: June 13, 2021

First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
First Participant's Information
Please click on the type of boat you may be renting throughout the season: Note that all equipment must be returned in working order or you will be required to pay a replacement fee. *
Kayak
Paddleboat
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

Last Name*
Second Participant's Date of Birth*
Second Participant's Information
Please click on the type of boat you may be renting throughout the season: Note that all equipment must be returned in working order or you will be required to pay a replacement fee. *
Kayak
Paddleboat
Third Participant's Name

First Name*

Middle Name

Last Name*
Third Participant's Date of Birth*
Third Participant's Information
Please click on the type of boat you may be renting throughout the season: Note that all equipment must be returned in working order or you will be required to pay a replacement fee. *
Kayak
Paddleboat
Fourth Participant's Name

First Name*

Middle Name

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Information
Please click on the type of boat you may be renting throughout the season: Note that all equipment must be returned in working order or you will be required to pay a replacement fee. *
Kayak
Paddleboat
Fifth Participant's Name

First Name*

Middle Name

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Information
Please click on the type of boat you may be renting throughout the season: Note that all equipment must be returned in working order or you will be required to pay a replacement fee. *
Kayak
Paddleboat
Sixth Participant's Name

First Name*

Middle Name

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Information
Please click on the type of boat you may be renting throughout the season: Note that all equipment must be returned in working order or you will be required to pay a replacement fee. *
Kayak
Paddleboat
Seventh Participant's Name

First Name*

Middle Name

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Information
Please click on the type of boat you may be renting throughout the season: Note that all equipment must be returned in working order or you will be required to pay a replacement fee. *
Kayak
Paddleboat
Eighth Participant's Name

First Name*

Middle Name

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Information
Please click on the type of boat you may be renting throughout the season: Note that all equipment must be returned in working order or you will be required to pay a replacement fee. *
Kayak
Paddleboat
Ninth Participant's Name

First Name*

Middle Name

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Information
Please click on the type of boat you may be renting throughout the season: Note that all equipment must be returned in working order or you will be required to pay a replacement fee. *
Kayak
Paddleboat
Tenth Participant's Name

First Name*

Middle Name

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Information
Please click on the type of boat you may be renting throughout the season: Note that all equipment must be returned in working order or you will be required to pay a replacement fee. *
Kayak
Paddleboat
Participant'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.
This is to certify that I, as parent/guardian of this Lessee, do consent to this rental and to the conditions for its use by my child. I also consent and agree to his/her release as provided above, and for myself, my heirs, assigns and next of kin, release and agree to indemnify the Lessor from any and all liabilities incident to my child’s use of this equipment, EVEN IF ARISING FROM THE LESSORS’ NEGLIGENCE.
Parent or Guardian's Name

First Name*

Middle 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 Information
Please click on the type of boat you may be renting throughout the season: Note that all equipment must be returned in working order or you will be required to pay a replacement fee. *
Kayak
Paddleboat
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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