Stand Up Paddleboard Hire

Stand Up Paddleboard Form

Please read the following very carefully:

At all times you must stay within the designated hire area (Mooloolah River and Canals only)

I Agree

If you are over the age of 12 and are able to swim you are not required to wear a lifejacket. However, lifejackets are issued free of charge to any participant and if required must be worn at all times.

I Agree

0 (Zero) alcohol tolerance level is required of all participants.

I Agree

You MUST report any incident or collision that has occurred during your hire.

I Agree

You are responsible for any participants under 16 years of age

I Agree

Only people named by you on this form are allowed to use the hired equipment

I Agree

You must wear the leg strap at all times

I Agree

You are required to leave and return to the pontoon in the kneeling position (within 10 meters)

I Agree

You are deemed responsible for your own safety and the safety of others, as such, you participate at your own risk and you will be held responsible for injury caused wilfully or by negligence on your part.

I Agree

You are deemed responsible for the care of the equipment you hire, as such, you are accountable for any damage and understand further costs can be bought against you

I Agree

You acknowledge that you are solely responsible for obtaining all advice and information necessary for the safety and the safe use of the stand-up paddle equipment.

I Agree

The owners, management and staff of Hire Hut Mooloolaba reserves the right to refuse, cancel or stop any hire at any time without a refund if a person does not adhere to these rules or is negligent, remiss, not confident or a potential danger to themselves or other persons or property.

I Agree

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July 4, 2020

I ACKNOWLEDGE AND UNDERSTAND THAT WHILST PARTICIPATING IN THE ACTIVITY:

The conditions in which the activity is conducted may vary without warning.

I Agree

Other persons participating in the activity may cause me injury or damage to my property for which they may be liable.

I Agree

I may cause injury to other persons or damage their property, for which I may be liable.

I Agree

I may cause loss of damage to property used/hired for which I would be liable.

I Agree

I may be injured/ inflict damage to my property as a result of my negligence or breach of contract.

I Agree

There may be no or inadequate facilities for treatment or transport of me if I am injured.

I Agree

I assume the risk of and responsibility for any injury, death or property damage resulting from my participation.

I Agree

I will take special attention to all instructions oral or written and will query any matters that I do not understand.

I Agree

I am not under the influence of drugs/medication/mind altering substances that affect my understanding of safety instructions or ability to safely participate.

I Agree

I do not have any allergies that affect my ability to participate any aspect of this activity

I Agree

I do not suffer from any mental infirmity/allergies that may prejudice my performance/safety or the safety of others.

I Agree

I name and acknowledge the full responsibility for participants less than 16 years of age.

I Agree

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July 4, 2020

Release and indemnity to the service provider:

In consideration of the acceptance of me participating, except to the extent it is precluded by statutory law I AGREE TO RELEASE AND INDEMNIFY the service provider as follows:

I release, indemnify and hold harmless the service provider, its servants and agents, from and against all and any actions or claims which may be made by me or on my behalf or by other parties for or in respect of or arising out of any injury, loss, damage or death caused to me or my property whether by negligence, breach of contract or in any way whatsoever.

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July 4, 2020

First Hirer Name

First Name*

Last Name*

Phone*

First Hirer Date of Birth*

First Hirer Signature*

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Second Hirer Name

First Name*

Last Name*

Second Hirer Date of Birth*

Second Hirer Signature*

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Third Hirer Name

First Name*

Last Name*

Third Hirer Date of Birth*

Third Hirer Signature*

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Fourth Hirer Name

First Name*

Last Name*

Fourth Hirer Date of Birth*

Fourth Hirer Signature*

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Fifth Hirer Name

First Name*

Last Name*

Fifth Hirer Date of Birth*

Fifth Hirer Signature*

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Sixth Hirer Name

First Name*

Last Name*

Sixth Hirer Date of Birth*

Sixth Hirer Signature*

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Seventh Hirer Name

First Name*

Last Name*

Seventh Hirer Date of Birth*

Seventh Hirer Signature*

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Eighth Hirer Name

First Name*

Last Name*

Eighth Hirer Date of Birth*

Eighth Hirer Signature*

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Ninth Hirer Name

First Name*

Last Name*

Ninth Hirer Date of Birth*

Ninth Hirer Signature*

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Tenth Hirer Name

First Name*

Last Name*

Tenth Hirer Date of Birth*

Tenth Hirer Signature*

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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*

Check to receive information, news, and discounts by e-mail.

A signed copy of this waiver will be sent to the email address you provide.

Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*

Parent or Guardian's Driver's License / ID Card

Driver's License / ID Card Number*

Issuing State*

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 Signature*

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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.