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BBR BASS BOAT RENTALS, LLC

RENTER VERIFICATION

 

 

Today's Date: October 24, 2021

Please select who will be participating...
AdultMinor
Continue
First RENTER Name

First Name*

Last Name*

Phone*
First RENTER Date of Birth*
First RENTER Signature*
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*
Parent or Guardian's Driver's License / ID Card

Driver's License / ID Card Number*

Issuing State*
RENTER VERIFICATION QUESTIONS

Please answer each of the following questions, after all questions are answered and the form has been submitted, please be prepared for one of our trained operators to contact you for additional information if necessary.

Are you at least 21 years of age?*
No
Yes
Were you born after Sept 1st 1993*
No
Yes
Do you have a valid US drivers license?*
No
Yes
Have you operated a bass boat with a 250HP motor?*
No
Yes

If Yes please list boat brand & model and motor brand & model
Do you fish any bass tournament circuits as a boater?*
No
Yes

If Yes please list the circuit you fished most recently as a boater where we can see the tournament results
Do you currently tow a bass boat?*
No
Yes

If Yes please list the tow vehicle year, make and model here
Can you launch and load a bass boat on/off a trailer un-assisted?*
No
Yes

If No BBR would like to help facilitate a safe launch and load. Please advise if you require assistance here.
Are you a person with a physical disability that prevents you from launching and loading the boat yourself?*
No
Yes

If Yes BBR would like to help facilitate a safe launch and load. please advise if you require assistance here.
Do you have your own boat insurance policy?*
No
Yes

If Yes does the policy provide any coverage for you while renting a boat?
Are you a member of a social media platform such as facebook or instagram?*
No
Yes

If Yes please provide a link to your social media here

Please describe anything you think is relevant that will help us determine if you are capable of operating the equipment.
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*

Relationship*

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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