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JET SKI RENTAL WAIVER and RELEASE of LIABILITY ASSUMPTION OF RISK and INDEMNITY

 

I, the undersigned, desire to participate in the Jet skis / Activities excursions from Moana Adventure Tours during my stay.

The above name guest and guest’s parent or guardian does hereby acknowledge the danger and assume the risk of participating in the activities; and expressly and forever waive and release any and all claim, proceedings, or actions for personal injury, death or any loss or damage whatsoever that Guest may suffer arising out of or in connection with Guest’s participation in the activities, and guest further releases and agrees to hold harmless SARL Moana Adventure Tours Limited and each of their subsidiaries, affiliates, officers, directors, employees and agent (collectively the “Indemnitees”) and  assigns of each of them from any and all liability for damages  to Guest or Guest’s heirs and successors arising out of Guest’s participating in any activities. Guest also accepts financial responsibility for the loss of or damage to any equipment used by guest.

I further agree to indemnify and hold harmless the Indemnitees and each of them from all manner of actions, claims, losses damages, costs, and expenses (including reasonable attorney’s fees) that may be suffered or incurred by them as a result of my participation in any of these Activities.

I acknowledge that no representations and warranties have been made to me by the Indemnities concerning the quality, fitness, condition or safety of the Activities or Providers of such activities.

I affirm that I am at least 18 years of age and that I have read this Jet Skis / Activities Release, or If I am less than 18 years of age, this Jet Ski Release has been signed on my behalf by my parent or Legal Guardian. I also knowledge and agree to this Jet skis / Activities Release being a continuing agreement for the duration of my excursion with Moana Adventure Tours in which I participate.

 

JET SKI RENTAL RULES and REGULATIONS

  1. Only Adult riders and passengers 18 and older who have signed the WAIVER and RELEASE shall operate the Jet Ski.
  2. You are under the total authority of the Jet Ski guide. He is the only one to determinate the itinerary as he knows the dangers in the lagoon and the French Polynesian legislations.
  3. A life Vest – floatation device must be worm at all times.
  4. It is forbidden to drive a Jet ski under the influence of alcohol or drugs.
  5. Do not operate any Jet Ski or other vessel in any manner other than with both hands on the steering apparatus, both feet on the ski and sitting in the seat. 
  6. Do not carry persons or equipment on your Jet Ski. ONLY TWO PERSONS PER JET SKI ALLOWED. NO RIDING TRIPLE ON Jet Ski’s. 500# total weight limit. Only registered passengers are allowed on the Jet Ski and No passengers under 11 are allowed on the Jet Ski at any time. 
  7. Ride at your current skill level, Do not push your limit, be careful and practice Safety. 
  8. Do not make sharp turns. Turn gradually while turning. Do not jump waves or cause the Jet Ski to leave the water. 
  9. Do not rise in the water or run the Jet Ski up on the beach. This damages the machine. 
  10. Do not drive the Jet Ski within 500 feet of guest swimming and beach areas, docks or near snorkelers, divers or other vessels. Do not attempt to splash or spray another person. 
  11.  Any Jet Ski rollover requires a minimum inspection of $50 payment. NO Exceptions! 
  12.  The speed limit within the marina and motu area is 10 MPH. No Wake within the marina or beach areas. 
  13.  Do not participate in any race or other contest involving Jet Ski’s or other vessels
  14.  Do not tow other Jet Ski’s or other vessels and do not have them tow you and your rental Jet Ski.
  15.  Be aware of other drivers and vessels. Do not drive too close to other vessels
  16.  Do not park and leave vessel or equipment or keys unattended. 
  17.  Anyone not following these rules or directions from your rental attendant or who is caught speeding will be escorted back to registration and your riding time and tour will be forfeited with NO REFUNDS. 
  18. There are no refunds for early returns. 
  19. You may only operate the Jet Ski within the 1-mile radius area designated by the rental agent. 
  20.  Do not operate any Jet Ski or other vessel in any manner if you are pregnant.

I agree to be personally liable and financially responsible for all loss of and of and damage caused to any Jet Ski, other vessel or equipment covered by this agreement. I AGREE TO PAY FOR ALL SUCH LOSS OR DAMAGE. I also agree to pay for the loss of use of any Jet Ski or other vehicle covered by this agreement damaged by myself at the rate of $100 per day from the date of damage until repaired and replaced in rental service, not to exceed 14 days. I hereby authorize to charge my credit card account provided as part of this transaction for any rental or damages I may incur. 

I have read, reviewed and understand the PWC Renter Orientation Checklist and PWC operation as designated and trained by the rental agent. 

 

 

 

First Participant's Name

First Name*

Middle Name

Last Name*
First Participant's Date of Birth*
First Participant's Information

Name of the 2nd participant if needed

Please give us the date of your excursion : *

Please, give us the date of arrival in Bora-Bora :

Please, give us the date of departure from Bora-Bora :

Hotel name during your stay ? *
How many people in the Jet ski ? *
1 person
2 persons
Do you understand that the passenger has to be at least 11 years old ? *
Yes
No
Do you understand that the driver of the Jet ski has to be at least 16 years old ? *
Yes
No
Do you understand that the Jet ski driver and passenger should not be under the influence of alcohol ? *
Yes
No
If the driver is a woman, do you understand that the Moana Adventure Tours company does not accept pregnant women during the Jet ski tour for child safety issues? *
Yes
No
Do you understand that this is an activity at risk and that in case of injury, Moana Adventure Tours can not be held responsible? *
Yes
No
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

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

Name of the 2nd participant if needed

Please give us the date of your excursion : *

Please, give us the date of arrival in Bora-Bora :

Please, give us the date of departure from Bora-Bora :

Hotel name during your stay ? *
How many people in the Jet ski ? *
1 person
2 persons
Do you understand that the passenger has to be at least 11 years old ? *
Yes
No
Do you understand that the driver of the Jet ski has to be at least 16 years old ? *
Yes
No
Do you understand that the Jet ski driver and passenger should not be under the influence of alcohol ? *
Yes
No
If the driver is a woman, do you understand that the Moana Adventure Tours company does not accept pregnant women during the Jet ski tour for child safety issues? *
Yes
No
Do you understand that this is an activity at risk and that in case of injury, Moana Adventure Tours can not be held responsible? *
Yes
No
Third Participant's Name

First Name*

Middle Name

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

Name of the 2nd participant if needed

Please give us the date of your excursion : *

Please, give us the date of arrival in Bora-Bora :

Please, give us the date of departure from Bora-Bora :

Hotel name during your stay ? *
How many people in the Jet ski ? *
1 person
2 persons
Do you understand that the passenger has to be at least 11 years old ? *
Yes
No
Do you understand that the driver of the Jet ski has to be at least 16 years old ? *
Yes
No
Do you understand that the Jet ski driver and passenger should not be under the influence of alcohol ? *
Yes
No
If the driver is a woman, do you understand that the Moana Adventure Tours company does not accept pregnant women during the Jet ski tour for child safety issues? *
Yes
No
Do you understand that this is an activity at risk and that in case of injury, Moana Adventure Tours can not be held responsible? *
Yes
No
Fourth Participant's Name

First Name*

Middle Name

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

Name of the 2nd participant if needed

Please give us the date of your excursion : *

Please, give us the date of arrival in Bora-Bora :

Please, give us the date of departure from Bora-Bora :

Hotel name during your stay ? *
How many people in the Jet ski ? *
1 person
2 persons
Do you understand that the passenger has to be at least 11 years old ? *
Yes
No
Do you understand that the driver of the Jet ski has to be at least 16 years old ? *
Yes
No
Do you understand that the Jet ski driver and passenger should not be under the influence of alcohol ? *
Yes
No
If the driver is a woman, do you understand that the Moana Adventure Tours company does not accept pregnant women during the Jet ski tour for child safety issues? *
Yes
No
Do you understand that this is an activity at risk and that in case of injury, Moana Adventure Tours can not be held responsible? *
Yes
No
Fifth Participant's Name

First Name*

Middle Name

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

Name of the 2nd participant if needed

Please give us the date of your excursion : *

Please, give us the date of arrival in Bora-Bora :

Please, give us the date of departure from Bora-Bora :

Hotel name during your stay ? *
How many people in the Jet ski ? *
1 person
2 persons
Do you understand that the passenger has to be at least 11 years old ? *
Yes
No
Do you understand that the driver of the Jet ski has to be at least 16 years old ? *
Yes
No
Do you understand that the Jet ski driver and passenger should not be under the influence of alcohol ? *
Yes
No
If the driver is a woman, do you understand that the Moana Adventure Tours company does not accept pregnant women during the Jet ski tour for child safety issues? *
Yes
No
Do you understand that this is an activity at risk and that in case of injury, Moana Adventure Tours can not be held responsible? *
Yes
No
Sixth Participant's Name

First Name*

Middle Name

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

Name of the 2nd participant if needed

Please give us the date of your excursion : *

Please, give us the date of arrival in Bora-Bora :

Please, give us the date of departure from Bora-Bora :

Hotel name during your stay ? *
How many people in the Jet ski ? *
1 person
2 persons
Do you understand that the passenger has to be at least 11 years old ? *
Yes
No
Do you understand that the driver of the Jet ski has to be at least 16 years old ? *
Yes
No
Do you understand that the Jet ski driver and passenger should not be under the influence of alcohol ? *
Yes
No
If the driver is a woman, do you understand that the Moana Adventure Tours company does not accept pregnant women during the Jet ski tour for child safety issues? *
Yes
No
Do you understand that this is an activity at risk and that in case of injury, Moana Adventure Tours can not be held responsible? *
Yes
No
Seventh Participant's Name

First Name*

Middle Name

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

Name of the 2nd participant if needed

Please give us the date of your excursion : *

Please, give us the date of arrival in Bora-Bora :

Please, give us the date of departure from Bora-Bora :

Hotel name during your stay ? *
How many people in the Jet ski ? *
1 person
2 persons
Do you understand that the passenger has to be at least 11 years old ? *
Yes
No
Do you understand that the driver of the Jet ski has to be at least 16 years old ? *
Yes
No
Do you understand that the Jet ski driver and passenger should not be under the influence of alcohol ? *
Yes
No
If the driver is a woman, do you understand that the Moana Adventure Tours company does not accept pregnant women during the Jet ski tour for child safety issues? *
Yes
No
Do you understand that this is an activity at risk and that in case of injury, Moana Adventure Tours can not be held responsible? *
Yes
No
Eighth Participant's Name

First Name*

Middle Name

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

Name of the 2nd participant if needed

Please give us the date of your excursion : *

Please, give us the date of arrival in Bora-Bora :

Please, give us the date of departure from Bora-Bora :

Hotel name during your stay ? *
How many people in the Jet ski ? *
1 person
2 persons
Do you understand that the passenger has to be at least 11 years old ? *
Yes
No
Do you understand that the driver of the Jet ski has to be at least 16 years old ? *
Yes
No
Do you understand that the Jet ski driver and passenger should not be under the influence of alcohol ? *
Yes
No
If the driver is a woman, do you understand that the Moana Adventure Tours company does not accept pregnant women during the Jet ski tour for child safety issues? *
Yes
No
Do you understand that this is an activity at risk and that in case of injury, Moana Adventure Tours can not be held responsible? *
Yes
No
Ninth Participant's Name

First Name*

Middle Name

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

Name of the 2nd participant if needed

Please give us the date of your excursion : *

Please, give us the date of arrival in Bora-Bora :

Please, give us the date of departure from Bora-Bora :

Hotel name during your stay ? *
How many people in the Jet ski ? *
1 person
2 persons
Do you understand that the passenger has to be at least 11 years old ? *
Yes
No
Do you understand that the driver of the Jet ski has to be at least 16 years old ? *
Yes
No
Do you understand that the Jet ski driver and passenger should not be under the influence of alcohol ? *
Yes
No
If the driver is a woman, do you understand that the Moana Adventure Tours company does not accept pregnant women during the Jet ski tour for child safety issues? *
Yes
No
Do you understand that this is an activity at risk and that in case of injury, Moana Adventure Tours can not be held responsible? *
Yes
No
Tenth Participant's Name

First Name*

Middle Name

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

Name of the 2nd participant if needed

Please give us the date of your excursion : *

Please, give us the date of arrival in Bora-Bora :

Please, give us the date of departure from Bora-Bora :

Hotel name during your stay ? *
How many people in the Jet ski ? *
1 person
2 persons
Do you understand that the passenger has to be at least 11 years old ? *
Yes
No
Do you understand that the driver of the Jet ski has to be at least 16 years old ? *
Yes
No
Do you understand that the Jet ski driver and passenger should not be under the influence of alcohol ? *
Yes
No
If the driver is a woman, do you understand that the Moana Adventure Tours company does not accept pregnant women during the Jet ski tour for child safety issues? *
Yes
No
Do you understand that this is an activity at risk and that in case of injury, Moana Adventure Tours can not be held responsible? *
Yes
No
Parent or Guardian's Email Address

Email*

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

First Name*

Last 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.


By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Middle Name

Last Name*

Relationship*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information

Name of the 2nd participant if needed

Please give us the date of your excursion : *

Please, give us the date of arrival in Bora-Bora :

Please, give us the date of departure from Bora-Bora :

Hotel name during your stay ? *
How many people in the Jet ski ? *
1 person
2 persons
Do you understand that the passenger has to be at least 11 years old ? *
Yes
No
Do you understand that the driver of the Jet ski has to be at least 16 years old ? *
Yes
No
Do you understand that the Jet ski driver and passenger should not be under the influence of alcohol ? *
Yes
No
If the driver is a woman, do you understand that the Moana Adventure Tours company does not accept pregnant women during the Jet ski tour for child safety issues? *
Yes
No
Do you understand that this is an activity at risk and that in case of injury, Moana Adventure Tours can not be held responsible? *
Yes
No
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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