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This agreement is made between Southbound Escapes and the hirer listed, whereby it is hereby agreed that the hirer will hire from Southbound Escapes, under the terms and conditions of this agreement, the bicycle/s described in the schedule of hire. 


*RISK WARNING* RECREATIONAL ACTIVITIES INCLUDING BIKE RIDING, SCOOTER, HOBIE TANDEM ISLAND KAYAK INVOLVE A SIGNIFICANT RISK OF PHYSICAL HARM OR PERSONAL INJURY INCLUDING PERMANENT DISABILITY AND/OR DEATH TO PARTICIPANTS.
TERMS AND CONDITIONS OF HIRE - PLEASE NOTE THIS FORM INCLUDES EVERYONE INCLUDED IN EACH BOOKING. 
⦁ RISK: The hirer acknowledges the risk warning set out above and that the warning constitutes a risk warning pursuant to the Civil Liability Act, 2002.
⦁ CONDUCT: The hirer agrees to follow all signs and directions and ride in a safe controlled manner at all times.
⦁ HIRE CHARGE: The Hirer shall pay to Southbound Escapes for the hire of the bicycle, scooter, Hobie Tandem Island Kayak described in the schedule the hire charge as listed in the hire rates table.
⦁ PAYMENT IN ADVANCE: Hire fees shall be paid in advance by the Hirer up until the intended return date.
⦁ RETURN OF BICYCLE/S,SCOOTER, HOBIE TANDEM ISLAND KAYAK: The Hirer shall be responsible for returning the bicycle/s to Southbound Escapes. In the event of the Hirer returning the bicycle/s later than the intended return time, additional hire charge shall be due and payable according to the hire rates table.
⦁ OWNERSHIP OF BICYCLE/S, SCOOTERS, HOBIE TANDEM ISLAND KAYAK: The bicycle/s remain the property of Southbound Escapes throughout the period of hire. The Hirer will not sell or offer for sale, assign, mortgage, pledge, sub-hire or otherwise dispose of the bicycle/s. The bicycle/s will be kept throughout the period of hire in the possession of the Hirer.
⦁ DAMAGE OR LOSS: The Hirer shall acknowledge receipt of the bicycle/s, Scooter/s, Hobie Mirage Eclipse Pedalboard/s in good condition and working order. Throughout the period of hire, any damage (excluding normal wear and tear) to the bicycle/s, scooter/s, Hobie TANDEM ISLAND KAYAK shall be made good by the Hirer. Any repairs to the bicycle/s, scooter/s, Hobie mirage eclipse pedalboar/s will be done by Southbound Escapes at the hirer’s expense.
⦁ INDEMNITY: To the extent permissible by law, the Hirer hereby indemnifies Southbound Escapes against any injury, loss or damage to persons or property suffered by the Hirer or any other third parties as a result of the use of the bicycle/s, scooter/s or Hobie Mirage Eclipse Pedalboards.
⦁ HEALTH: The hirer acknowledges they are in good physical condition and has no disability or impairment that will prevent the hirer from safely engaging in the hire.
 

First Hirer Name

First Name*

Last Name*

Phone*
First Hirer Date of Birth*
I certify that I am 18 years of age or older
First Hirer Height (approx.)

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First Hirer Signature*
Second Hirer Name

First Name*

Last Name*
Second Hirer Date of Birth*
Second Hirer Height (approx.)

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Third Hirer Name

First Name*

Last Name*
Third Hirer Date of Birth*
Third Hirer Height (approx.)

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Fourth Hirer Name

First Name*

Last Name*
Fourth Hirer Date of Birth*
Fourth Hirer Height (approx.)

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Fifth Hirer Name

First Name*

Last Name*
Fifth Hirer Date of Birth*
Fifth Hirer Height (approx.)

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Sixth Hirer Name

First Name*

Last Name*
Sixth Hirer Date of Birth*
Sixth Hirer Height (approx.)

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Seventh Hirer Name

First Name*

Last Name*
Seventh Hirer Date of Birth*
Seventh Hirer Height (approx.)

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Eighth Hirer Name

First Name*

Last Name*
Eighth Hirer Date of Birth*
Eighth Hirer Height (approx.)

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Ninth Hirer Name

First Name*

Last Name*
Ninth Hirer Date of Birth*
Ninth Hirer Height (approx.)

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Tenth Hirer Name

First Name*

Last Name*
Tenth Hirer Date of Birth*
Tenth Hirer Height (approx.)

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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*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Height (approx.)

Click to customize text box label *
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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