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Duke's Lagoon Waikiki Liability Waiver Form

SURF BOARD RENTAL AGREEMENT

I hereby state that I am at least 18 years old age. I am renting a Sup board from DUKE'S LAGOON LLC and I and agree following terms

The cost of the rental per surfboard is:

Dally $50 Weekly $150.00

Daily rentals must be returned during shop hours

Weekly rentals must be returned by on the day of the rental period Failure to return SUP board rental on time will result in additional charges of a rental plus $50 late fee.

hours $30 additional hours $ 10)

extra day's

 

Any Surfboard rental over 24 hours late being retuned will be deemed stolen, and by my signature below, I allow the additional rental fees, late charges and now forfeited deposit of $400 charged to my card.

• I release DUKE'S LAGOON, the owners, employees, assigns and heirs of any liability associated with this Surfboard rental.

I understand that is an inherently dangerous sport that requires ability to swim and an approved flotation device, that I have inspected this SUP board rental and understand that DUKE'S LAGOON Is in no way liable for my use or misuse of said SUP board rental.

I HAVE READ THIS ASSUMPTION AND ACKNOWLEDGE OR RISK, RELEASE OF LIABILITY, AND INDEMNITY AGREEMENT. I UNDERSTAND THAT BY SIGNING THIS DOCUMENT, I AM WAVIING VALUABLE RIGHTS, INCLUDING ANY AND ALL RIGHTS I MAY HAVE AGAINST THE RELEASES, THE OPERATOR NAMED ABOVE, OR THEIR EMPLOYEES, AGENTS, SERVANTS OR ASSIGNS AND INTEND MY SIGNATURE TO BE COMPLETE UNCONDITIONAL RELEASE INDEMNITY TO THE GREATEST EXTENT ALLOWED BY THE LAW.

First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

Email*

Confirm Email*
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
Participant's Information
Can you swim?*
No
Yes

Enter your date of request *

What time will you do your activity? *

What is your hotel name or place staying? *
What activity are you doing today?
Standup Paddleboard
Surfboard
Bodyboard with Fins
Mask Snorkel Fin Set
One Person Kayak
Two Person Kayak
Private Surf Lesson
Private-Group Surf Lesson
Private Standup Paddleboard Lesson

Please enter the amount of each equipment you will be using? *

Please leave any additional information.
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 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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