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Complete Release of Liability

Ultimate Florida Tours, LLC DBA Segway Fort Lauderdale, LLC
219 SW 2nd Ave., Fort Lauderdale, FL 33301

This Agreement, Waiver of Negligence and Complete Release of Liability cover the use of a bike (“PT”) and related equipment which has been provided by Ultimate Florida Tours, LLC DBA Segway Fort Lauderdale, LLC for a tour experience.

1) Use and Operation. I wish to use a PT for a tour experience of Fort Lauderdale, FL. I acknowledge having received basic instruction on the operation of the PT. I agree to use and operate the PT in a careful, considerate and safe manner with due consideration for the safety and well being of all persons. I understand that the helmet is provided for my safety and I agree to wear the provided protective safety helmet and have it fastened at all times when operating the PT. I agree to cease operation of the PT if I am concerned in any way about the operation or a malfunction or damage to the PT. While riding the PT, I agree to keep at least 12 feet of space from the following but not limited to: other PT riders, walls, curbs, polls, potholes, pedestrians, and cars. I agree to wait for the instructor to help me on and off the PT at all times. I agree to pay for any and all damages if I crash my PT into another PT. 

2) Assumption of Risk. I understand and acknowledge that operation of the PT has a significant potential for serious injury to persons, including the operator, and for loss of or damage to property, including, but not limited to, the PT. I am voluntarily participating in this tour experience of the PT with the knowledge of the dangers involved and I agree to accept any and all risks of loss, injury or death. I also understand and acknowledge that PT’s are new and unique devices, that their operation in public places attracts a great deal of attention from people wishing to observe the use of the device and to more closely inspect the devices, and that such interest and desire to gain a closer inspection of the device can create situations in which the operation of the device can be very dangerous with regard to the operator and others.

3) Release of Claims and Indemnification. In consideration for being permitted to use the PT, I agree to assume all risks and to release and hold harmless Ultimate Florida Tours, LLC DBA Segway Fort Lauderdale, LLC, the Fort Lauderdale Historical Society, and all of their officers, directors, agents, employees and members, who through negligence, carelessness or any other cause, might otherwise be liable to me. I intend by this Waiver and Release, in advance, and to waive my right’s and discharge all of the persons mentioned above from any and all claims for damages for death, personal injury or property damage which I have or which may thereafter accrue to me, as a result of my use of the PT even though that liability may arise from negligence or carelessness on the part of the persons or entities being released. I understand and agree that this Waiver and Release is binding on my heirs, assigns and legal representatives.

4) I agree to indemnify and hold Ultimate Florida Tours, LLC DBA Segway Fort Lauderdale, LLC, the Fort Lauderdale Historical Society, and all of their officers, directors, agents, employees and members, harmless from and against any and all claims, demands, causes of action, suits, judgments, decrees, liabilities, obligations, injuries, including death, losses, damages, cost and expenses, including attorney fees, cost and expenses incurred by Ultimate Florida Tours, LLC DBA Segway Fort Lauderdale, LLC, and the Fort Lauderdale Historical Society with regard to such matters, for injuries of any type or kind, including death, to any person, and for loss of or damage to property of any type or kind, including the property rented to me under this Agreement, arising out of, related to or in connection with my use and operation of the PT and the other property rented to me pursuant to this Agreement and for my failure to fully and completely comply with the terms, provisions and conditions of this Agreement.

5) Governing Law. This Agreement shall be governed by and construed under the laws of the state of Florida.

6) I have carefully read this Waiver and Release and fully understand its contents. I certify that I am at least 18 years of age. I am aware that this is a RELEASE OF LIABILITY and a contract between me and the persons and entities mentioned above and all of their respective officers, directors, employees, agents and representatives, and I sign it of my own free will.

7) I release my image and likeness from photographs, video or audio taken by Ultimate Florida Tours, LLC DBA Segway Fort Lauderdale, LLC during my tour. I agree to do so without compensation.

8) I attest that I am not under the influence of alcohol or any prescription drugs.


9) THIS IS AN IMPORTANT LEGAL DOCUMENT. READ IT CAREFULLY BEFORE SIGNING BELOW.

June 16, 2025





First Participant's Name
First Name*
Last Name*
Phone*
First Participant's Date of Birth*
Date of Birth
First Participant's Information
Are you pregnant?*
No
Yes
Have you had a surgery or fainted in the past 6 months?*
No
Yes
First Participant's Signature*
Second Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Second Participant's Information
Are you pregnant?*
No
Yes
Have you had a surgery or fainted in the past 6 months?*
No
Yes
Third Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Third Participant's Information
Are you pregnant?*
No
Yes
Have you had a surgery or fainted in the past 6 months?*
No
Yes
Fourth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Fourth Participant's Information
Are you pregnant?*
No
Yes
Have you had a surgery or fainted in the past 6 months?*
No
Yes
Fifth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Fifth Participant's Information
Are you pregnant?*
No
Yes
Have you had a surgery or fainted in the past 6 months?*
No
Yes
Sixth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Sixth Participant's Information
Are you pregnant?*
No
Yes
Have you had a surgery or fainted in the past 6 months?*
No
Yes
Seventh Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Seventh Participant's Information
Are you pregnant?*
No
Yes
Have you had a surgery or fainted in the past 6 months?*
No
Yes
Eighth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Eighth Participant's Information
Are you pregnant?*
No
Yes
Have you had a surgery or fainted in the past 6 months?*
No
Yes
Ninth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Ninth Participant's Information
Are you pregnant?*
No
Yes
Have you had a surgery or fainted in the past 6 months?*
No
Yes
Tenth Participant's Name
First Name*
Last Name*
Participant's Date of Birth*
Date of Birth
Tenth Participant's Information
Are you pregnant?*
No
Yes
Have you had a surgery or fainted in the past 6 months?*
No
Yes
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.
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.


By signing below the parent or court-appointed legal guardian agrees that they are also 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*
Date of Birth
Parent or Guardian's Information
Are you pregnant?*
No
Yes
Have you had a surgery or fainted in the past 6 months?*
No
Yes
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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