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PowerPed Waiver

PowerPed ELECTRIC BICYCLE & SCOOTER AGREEMENT AND RELEASE FROM LIABILITY

I, (Customer) Agrees to rent an electric bicycle from PowerPed.

1. Voluntary Participation:

I hereby request to ride a PowerPed Electric Bike from PowerPed, LLC. From henceforth, PowerPed, LLC will be referred to by its DBA PowerPed.

2. Assumption of Risk:

I am aware that the activity will carry with it inherent risks that cannot be eliminated regardless of the level of care and precaution taken. Such risks will require my extra care and attention to detect and avoid. The risks of said activity will include but are not limited to bruising, scrapes, scratches, sprains, broken bones and other injuries of possibly greater severity such as paralysis or death. I hereby accept and assume all such risks, and do so for any minors under my care, as indicated by my signature below. I also agree to be legally responsible should any accident occur during my operation of the electric bike or scooter. This responsibility includes damage to other property or injury to another party whether willful or of my own negligence. I am aware that from the moment I sign this waiver to the moment I checkout I am in possession and responsible for the electric bike or scooter. If the electric bike or scooter is stolen while in my possession, I am liable to pay up to the full retail price as shown on www.PowerPed.com. The payment amount, for the stolen or missing bike, is up to the complete discretion of the owner(s) of PowerPed but no greater than the full retail price of the bike.

3. Conduct of Rider

I agree to ride the bicycle or scooter in compliance with all traffic laws in the state of Florida, and will exercise care to insure the safe operation of the bicycle or scooter. I agree not to perform stunts, or to attempt any "trick" riding during my use of the bike or scooter. I also agree to not allow any other party to ride the bike or scooter without the prior written permission of the owner(s) of PowerPed. I agree to wear a helmet anytime I am on a PowerPed electric bike or scooter. I agree to not ride the bike or scooter on the beach or sand. I understand that if I were to ride in the sand or mud that I will pay a cleaning fee of up to $200.00. The cleanliness of the electric bike will be determined at the point of rental drop off by a PowerPed employee and is completely subject to their discretion. I agree that an employee/representative of PowerPed has provided me with a helmet to use at all times and a bike lock with combination. I have been made aware of when and where to return the electric bike back to the possession of PowerPed at the end of the agreed upon rental time. I agree to return the electric bike in the condition in which it was rented to me. I agree to keep my method of payment on file with PowerPed in case I need to be charged the $200 cleaning fee and/or lost lock/helmut fee of $50 or $800 for excessive damage/stolen bike.

(Excessive damage is defined as any breaks or cracks to the bike frame or wheels, any damage to the motor and all its pieces that causes it to no longer turn on or accelerate, severing or breaks to the wiring to the controls, controller/throttle breaks or stops functioning)

4. Release

In consideration for being permitted by PowerPed to rent and ride a PowerPed electric bike or scooter, I hereby release PowerPed from all actions, claims or demands which I may now or hereafter have, and I agree that I, my assignees, heirs, personal representatives and other agents will not make a claim against, or sue, or attach the property of PowerPed on account of injury or other damage resulting during the ride or from the negligence or other acts (including gross negligence and intentional acts), however caused, of their employees, contractors, or other agents.

I hereby confirm that I have been given the opportunity to carefully read this agreement and release, and have done so and understand it, or I have voluntarily elected not to read it. I am aware this is a release of liability and, hereby sign it by my own free will. 

Today's Date: October 4, 2023

First Participant's Name

First Name*

Middle Name

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

Middle 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 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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