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Alabama Coastal Amusements, LLC

BICYCLE ACCIDENT WAIVER, AND INDEMNITY FORM RELEASE OF LIABILITY

I accept for use, the equipment listed on this form and accept full responsibility for the care of this equipment while it is in my possession. I agree to reimburse Alabama Coastal Amusements, LLC for the full retail value for any loss or damage other than reasonable wear and tear. I agree to return all rental equipment by the agreed time and in good condition to the agreed location to avoid any additional charges. I understand bicycling does invoke risk and I freely assume and understand protective gear such as a helmet is recommended but does not eliminate risk and may not reduce the risk of injury in the case of an accident.

I agree to release Alabama Coastal Amusements, LLC and the Gulf State Park from any and all responsibility of liability for injuries or damages to the user of this equipment listed on this form or to any other user of the equipment designated by the person listed below. I agree not to make a claim or suit against Alabama Coastal Amusements, LLC or the Gulf State Park for any mishaps or injury relating to the use of the rented equipment.

I accept the terms of the contract. This document constitutes the agreement between Alabama Coastal Amusements, LLC and the Gulf State Part and the undersigned. The rental equipment is accepted “as is”.

I have read this agreement and fully understand its contents. I understand this form is a release of Liability and the contract between Alabama Coastal Amusements, LLC, The Gulf State Park and myself and I sign it of my own free will.

Today's Date: June 22, 2021

I Agree
Damage to the bike will result in additional charge

Flat tire $5.00

Spoke/Wheel Frame $50.00

Broken Seat/ Bent Frame $25.00

I Agree
No refunds for inclement weather

I Agree
Bikes must be returned by 4PM

 

First Participant's Name

First Name*

Last Name*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
First Participant's Phone

Phone # *
First Participant's Signature*
Second Participant's Name

First Name*

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

Phone # *
Third Participant's Name

First Name*

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

Phone # *
Fourth Participant's Name

First Name*

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

Phone # *
Fifth Participant's Name

First Name*

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

Phone # *
Sixth Participant's Name

First Name*

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

Phone # *
Seventh Participant's Name

First Name*

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

Phone # *
Eighth Participant's Name

First Name*

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

Phone # *
Ninth Participant's Name

First Name*

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

Phone # *
Tenth Participant's Name

First Name*

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

Phone # *
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.
Parent or Guardian's Name

First Name*

Last Name*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Phone

Phone # *
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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