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I understand by signing the rental agreement I take full responsibility for any damages to watercraft making me responsible financially. I also under no circumstances hold Surf City nor Terry Fryer Reliable for any injury. I also understand by signing this agreement that there is a no cancelation policy OR REFUNDS 

WITH DATE 

First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Information

CREDIT CARD INFORMATION *

EXPIRATION DATE *

CVC CODE *

LOCATION *

NUMBER OF JET SKIS *
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

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

CREDIT CARD INFORMATION *

EXPIRATION DATE *

CVC CODE *

LOCATION *

NUMBER OF JET SKIS *
Third Participant's Name

First Name*

Middle Name

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

CREDIT CARD INFORMATION *

EXPIRATION DATE *

CVC CODE *

LOCATION *

NUMBER OF JET SKIS *
Fourth Participant's Name

First Name*

Middle Name

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

CREDIT CARD INFORMATION *

EXPIRATION DATE *

CVC CODE *

LOCATION *

NUMBER OF JET SKIS *
Fifth Participant's Name

First Name*

Middle Name

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

CREDIT CARD INFORMATION *

EXPIRATION DATE *

CVC CODE *

LOCATION *

NUMBER OF JET SKIS *
Sixth Participant's Name

First Name*

Middle Name

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

CREDIT CARD INFORMATION *

EXPIRATION DATE *

CVC CODE *

LOCATION *

NUMBER OF JET SKIS *
Seventh Participant's Name

First Name*

Middle Name

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

CREDIT CARD INFORMATION *

EXPIRATION DATE *

CVC CODE *

LOCATION *

NUMBER OF JET SKIS *
Eighth Participant's Name

First Name*

Middle Name

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

CREDIT CARD INFORMATION *

EXPIRATION DATE *

CVC CODE *

LOCATION *

NUMBER OF JET SKIS *
Ninth Participant's Name

First Name*

Middle Name

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

CREDIT CARD INFORMATION *

EXPIRATION DATE *

CVC CODE *

LOCATION *

NUMBER OF JET SKIS *
Tenth Participant's Name

First Name*

Middle Name

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

CREDIT CARD INFORMATION *

EXPIRATION DATE *

CVC CODE *

LOCATION *

NUMBER OF JET SKIS *
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.
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*

Middle Name

Last Name*

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

CREDIT CARD INFORMATION *

EXPIRATION DATE *

CVC CODE *

LOCATION *

NUMBER OF JET SKIS *
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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