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This waiver is to be filled out and signed upon dropping boat rentals off to customers.

Rental Date: September 22, 2023

 

I confirm that I am receiving a watercraft rental from Lake Area Adventures.

I Agree

 

I agree that the boat was delivered to me in proper operating condition and I agree to any damages and injuries to passengers or the watercraft during my time with the watercraft. 

I Agree

 

I agree to return the watercraft within my designated timeframe, and agree to pay the late fee if the boat is not ready for pickup at the specified time/location. 

I Agree

 

I agree that if no damages were incurred during my rental, and I have returned the watercraft on time, my refundable deposit will be processed the next business day and can take 5-7 business days for my bank to release funds. 

I Agree

 

I authorize Lake Area Adventures to charge the card on file for penalty fees, late fees, and/or damages.

I Agree

 

 

 

First Customer Name

First Name*

Last Name*

Phone*
First Customer Date of Birth*
First Customer Information

Drivers License Number *

Driver's license expiration date: *

Card Number *

Card Expiration Date *

Zip Code that is Associated with Credit Card On File *

CVC *

Street Address *

City and State *
First Customer Signature*
Second Customer Name

First Name*

Last Name*
Second Customer Date of Birth*
Second Customer Information

Drivers License Number *

Driver's license expiration date: *

Card Number *

Card Expiration Date *

Zip Code that is Associated with Credit Card On File *

CVC *

Street Address *

City and State *
Third Customer Name

First Name*

Last Name*
Third Customer Date of Birth*
Third Customer Information

Drivers License Number *

Driver's license expiration date: *

Card Number *

Card Expiration Date *

Zip Code that is Associated with Credit Card On File *

CVC *

Street Address *

City and State *
Fourth Customer Name

First Name*

Last Name*
Fourth Customer Date of Birth*
Fourth Customer Information

Drivers License Number *

Driver's license expiration date: *

Card Number *

Card Expiration Date *

Zip Code that is Associated with Credit Card On File *

CVC *

Street Address *

City and State *
Fifth Customer Name

First Name*

Last Name*
Fifth Customer Date of Birth*
Fifth Customer Information

Drivers License Number *

Driver's license expiration date: *

Card Number *

Card Expiration Date *

Zip Code that is Associated with Credit Card On File *

CVC *

Street Address *

City and State *
Sixth Customer Name

First Name*

Last Name*
Sixth Customer Date of Birth*
Sixth Customer Information

Drivers License Number *

Driver's license expiration date: *

Card Number *

Card Expiration Date *

Zip Code that is Associated with Credit Card On File *

CVC *

Street Address *

City and State *
Seventh Customer Name

First Name*

Last Name*
Seventh Customer Date of Birth*
Seventh Customer Information

Drivers License Number *

Driver's license expiration date: *

Card Number *

Card Expiration Date *

Zip Code that is Associated with Credit Card On File *

CVC *

Street Address *

City and State *
Eighth Customer Name

First Name*

Last Name*
Eighth Customer Date of Birth*
Eighth Customer Information

Drivers License Number *

Driver's license expiration date: *

Card Number *

Card Expiration Date *

Zip Code that is Associated with Credit Card On File *

CVC *

Street Address *

City and State *
Ninth Customer Name

First Name*

Last Name*
Ninth Customer Date of Birth*
Ninth Customer Information

Drivers License Number *

Driver's license expiration date: *

Card Number *

Card Expiration Date *

Zip Code that is Associated with Credit Card On File *

CVC *

Street Address *

City and State *
Tenth Customer Name

First Name*

Last Name*
Tenth Customer Date of Birth*
Tenth Customer Information

Drivers License Number *

Driver's license expiration date: *

Card Number *

Card Expiration Date *

Zip Code that is Associated with Credit Card On File *

CVC *

Street Address *

City and State *
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.


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*

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

Drivers License Number *

Driver's license expiration date: *

Card Number *

Card Expiration Date *

Zip Code that is Associated with Credit Card On File *

CVC *

Street Address *

City and State *
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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