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FORT WAYNE OUTFITTERS and BIKE DEPOT

BIKE RENTAL PARTICIPANT AGREEMENT RELEASE AND ACKNOWLEDGEMENT OF RISK

I accept for use, as is, the bicycle equipment listed on this form, and accept full responsibility for the care of the bicycle equipment while it is in my possession. I agree to reimburse Fort Wayne Outfitters and Bike Depot, LLC at full retail value for any loss or damage of any kind, other than reasonable wear and tear. I agree to return all rental equipment by the agreed date in clean condition to avoid any additional charges. I understand that there are risks involved in cycling for which this bicycle equipment is to be used, that injuries are a possible occurrence of riding, and I freely assume those risks.

This bicycle equipment is intended for riding on paved roadways obeying all traffic laws. The hotel or rental agent will not be held liable for any injuries or suits and is only acting as an agent for Fort Wayne Outfitters and Bike Depot, LLC and is offering this service as a convenience to you. Fort Wayne Outfitters and Bike Depot, LLC Rental Assumption of Risk, Waiver and Release Agreement:

  • I realize the importance of wearing a helmet and I hereby commit to wearing a helmet at all times while riding the bicycle (unless otherwise stated below).
  • I understand that this activity may result in severe injury, including but not limited to spinal or head injury.
  • I understand that this activity may result in hazards posed by other bicycles and traffic or road conditions.
  • I understand how to operate the rental bicycle’s gears and brakes and adjust the seat and quick releases.
  • I understand these bicycles do not have visibility enhancement equipment such as lights.
  • Bicycle riders should observe all traffic laws.
  • Bicycles are to be used only by signers of lease agreement and shall not be operated by any other parties.
  • Lessee is responsible for any damage(s) to pedestrians, property or automobiles while lessee is operating or transporting leased bicycles.
  • I have carefully read this agreement and understand its content. I am aware this is an assumption of risk, waiver and release of liability and I sign it voluntarily. I also understand that I should not and may not participate in this activity if I am under the influence of alcohol or drugs.
  • I acknowledge that if the following rental accessories are lost or damaged upon return I agree to bear the following minimum replacement parts and labor costs associated:
    • Lights $15
    • True wheel $15 o Lock $25
    • Replace wheel $30 min.
    • Kickstand $25
    • Child Trailer $230

ADDITIONAL ACCESSORIES AVAILABLE FOR RENT:

  • Lock $3
  • Flat repair kit $5    
  • Light $3
  • Child trailer $8/hour; $20/ half day; $32 full day
  • Helmet $5

Fort Wayne Outfitters and Bike Depot high recommends that cyclists wear a helmet at all times.

Today's Date: November 14, 2019

First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Information
Fort Wayne Outfitters and Bike Depot high recommends that cyclists wear a helmet at all times.*
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

Last Name*
Second Participant's Date of Birth*
Second Participant's Information
Fort Wayne Outfitters and Bike Depot high recommends that cyclists wear a helmet at all times.*
Third Participant's Name

First Name*

Middle Name

Last Name*
Third Participant's Date of Birth*
Third Participant's Information
Fort Wayne Outfitters and Bike Depot high recommends that cyclists wear a helmet at all times.*
Fourth Participant's Name

First Name*

Middle Name

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Information
Fort Wayne Outfitters and Bike Depot high recommends that cyclists wear a helmet at all times.*
Fifth Participant's Name

First Name*

Middle Name

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Information
Fort Wayne Outfitters and Bike Depot high recommends that cyclists wear a helmet at all times.*
Sixth Participant's Name

First Name*

Middle Name

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Information
Fort Wayne Outfitters and Bike Depot high recommends that cyclists wear a helmet at all times.*
Seventh Participant's Name

First Name*

Middle Name

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Information
Fort Wayne Outfitters and Bike Depot high recommends that cyclists wear a helmet at all times.*
Eighth Participant's Name

First Name*

Middle Name

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Information
Fort Wayne Outfitters and Bike Depot high recommends that cyclists wear a helmet at all times.*
Ninth Participant's Name

First Name*

Middle Name

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Information
Fort Wayne Outfitters and Bike Depot high recommends that cyclists wear a helmet at all times.*
Tenth Participant's Name

First Name*

Middle Name

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Information
Fort Wayne Outfitters and Bike Depot high recommends that cyclists wear a helmet at all times.*
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.
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*

Middle Name

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information
Fort Wayne Outfitters and Bike Depot high recommends that cyclists wear a helmet at all times.*
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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