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RecWell Adventure Program Stove Rental

RecWell Adventure Program Stove Rental Agreement:

    By signing below, you understand and acknowledge that the use of cooking stoves, and the transport of the necessary fuel, can be inherently dangerous. The University is not responsible for any accidents (e.g. burns, blisters, cuts, lacerations, etc.) which may arise from your use of equipment rented from the University. Further, you hereby agree to indemnify and hold harmless the State of Maryland, University, its employees, agents and volunteers, from any claims, charges, damages, liability or costs arising from your use of rented equipment, transport of necessary fuel or any related activities. You also acknowledge that you have been trained on the above RecWell Adventure Program Stove Rental Set-Up and User Protocol (this page and the previous page) by RecWell Adventure Program staff and agree to use the MSR SuperflyTM or Primus Two Burner cooking stove(s) in accordance with this Protocol. 

January 28, 2023

 

First Renter's Name

First Name*

Last Name*
First Renter's Date of Birth*
First Renter's Signature*
Second Renter's Name

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

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

Please enter your UID#
Adventure Program Staff Witness

Staff Name
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*

Last Name*
Parent or Guardian's Date of Birth*
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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