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Rental agreement between Scuba Network NYC and "Diver" for the use of rental scuba gear.

I understand and agree that Scuba Fifth Avenue, Inc, (dba "Scuba Network") and its employees, owners, officers, contractor, assigns or agents (hereinafter referred to as “Released Parties”), shall not be held liable or responsible in any way for any injury, death or other damages to me, my family, estate, heirs or assigns which may occur as a result of the rental and/or use of the equipment, or as a result of product defect, or the negligence of any party, including the Released Parties, whether passive or active.

I hereby acknowledge receipt of the equipment designated in this form, and, if any of this equipment is to be used for scuba diving I affirm I am a certified scuba diver or student diver in a scuba diving course/program under the supervision of a certified scuba instructor.

I affirm it is my responsibility to inspect all of the equipment and acknowledge it is in good working condition. I affirm that it is my responsibility to check both the quality and quantity of gas in any scuba tanks. I acknowledge that I should not dive if the equipment is not functioning properly. I will not hold the Released Parties responsible for my failure to inspect the equipment prior to diving or if I choose to dive with equipment that may not be functioning properly.

I understand that skin diving and scuba diving are physically strenuous activities, that I will be exerting myself during these activities, and that if I am injured as a result of heart attack, panic, hyperventilation, drowning or any other cause, that I expressly assume the risk of said injuries and that I will not hold the Released Parties responsible for the same.

I agree to reimburse the Dive Center/Resort for the loss or breakage of any and all equipment at the current replacement value and to also pay for damages incurred while transporting the equipment. I agree to return the equipment in clean condition and to pay a cleaning fee if not returned cleaned.

I understand that if I do not return gear back before the end of business day according to normal store hours (which can be viewed on the store website divingnyc.com, Google and other easily accessible websites), I will be charged a late fee equal to the daily rate that the equipment is out of the store.

I understand that after a period of 7 days, Scuba Network will consider the equipment lost and charge me for a replacement at cost from the manufacturer in addition to the late fees accrued.

I further state that I am of lawful age and legally competent to sign this liability release, or that I have acquired the written consent of my parent or guardian. I understand the terms herein are contractual and not a mere recital, and that I have signed this Agreement of my own free act and with the knowledge that I hereby agree to waive my legal rights. I further agree if any provision of this Agreement is found to be unenforceable or invalid, that provision shall be severed from this Agreement. The remainder of this Agreement will then be construed as though the unenforceable provision had never been contained herein.

I understand and agree that I am not only giving up my right to sue the Released Parties but also any rights my heirs, assign  s, and beneficiaries may have to sue the Released Parties resulting from my death. I further represent I have the authority to do so and that my heirs, assigns, or beneficiaries will be estopped from claiming otherwise because of my representations to the Released Parties.

I, BY THIS INSTRUMENT AGREE TO EXEMPT AND RELEASE THE RELEASED PARTIES AND ALL RELATED ENTITIES AS DEFINED ABOVE, FROM ALL LIABILITY OR RESPONSIBILITY WHATSOEVER FOR PERSONAL INJURY, PROPERTY DAMAGE, OR WRONGFUL DEATH AS A RESULT OF RENTING AND/OR USING THE EQUIPMENT, HOWEVER CAUSED, INCLUDING, BUT NOT LIMITED TO PRODUCT LIABILITY OR THE NEGLIGENCE OF THE RELEASED PARTIES, WHETHER PASSIVE OR ACTIVE.

I HAVE FULLY INFORMED MYSELF AND MY HEIRS OF THE CONTENTS OF THIS NON-AGENCY DISCLOSURE AND ACKNOWLDGEMENT AGREEMENT AND LIABILITY RELEASE AND ASSUMPTION OF RISK AGREEMENT BY READING BOTH BEFORE SIGNING BELOW ON BEHALF OF MYSELF AND MY HEIRS.




First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Rental Gear
Check all that Apply. *
Mask
Snorkel
Fins
Boots
Wetsuit
Personal Dive Computer
Regulator
Buoyancy Control Device
Tank
Weights

Quantity Notes (i.e. 2 masks, 2 tanks, 2 wetsuits)

Date Out *

Date Due Back *
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Second Participant's Rental Gear
Check all that Apply. *
Mask
Snorkel
Fins
Boots
Wetsuit
Personal Dive Computer
Regulator
Buoyancy Control Device
Tank
Weights

Quantity Notes (i.e. 2 masks, 2 tanks, 2 wetsuits)

Date Out *

Date Due Back *
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Third Participant's Rental Gear
Check all that Apply. *
Mask
Snorkel
Fins
Boots
Wetsuit
Personal Dive Computer
Regulator
Buoyancy Control Device
Tank
Weights

Quantity Notes (i.e. 2 masks, 2 tanks, 2 wetsuits)

Date Out *

Date Due Back *
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Rental Gear
Check all that Apply. *
Mask
Snorkel
Fins
Boots
Wetsuit
Personal Dive Computer
Regulator
Buoyancy Control Device
Tank
Weights

Quantity Notes (i.e. 2 masks, 2 tanks, 2 wetsuits)

Date Out *

Date Due Back *
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Rental Gear
Check all that Apply. *
Mask
Snorkel
Fins
Boots
Wetsuit
Personal Dive Computer
Regulator
Buoyancy Control Device
Tank
Weights

Quantity Notes (i.e. 2 masks, 2 tanks, 2 wetsuits)

Date Out *

Date Due Back *
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Rental Gear
Check all that Apply. *
Mask
Snorkel
Fins
Boots
Wetsuit
Personal Dive Computer
Regulator
Buoyancy Control Device
Tank
Weights

Quantity Notes (i.e. 2 masks, 2 tanks, 2 wetsuits)

Date Out *

Date Due Back *
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Rental Gear
Check all that Apply. *
Mask
Snorkel
Fins
Boots
Wetsuit
Personal Dive Computer
Regulator
Buoyancy Control Device
Tank
Weights

Quantity Notes (i.e. 2 masks, 2 tanks, 2 wetsuits)

Date Out *

Date Due Back *
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Rental Gear
Check all that Apply. *
Mask
Snorkel
Fins
Boots
Wetsuit
Personal Dive Computer
Regulator
Buoyancy Control Device
Tank
Weights

Quantity Notes (i.e. 2 masks, 2 tanks, 2 wetsuits)

Date Out *

Date Due Back *
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Rental Gear
Check all that Apply. *
Mask
Snorkel
Fins
Boots
Wetsuit
Personal Dive Computer
Regulator
Buoyancy Control Device
Tank
Weights

Quantity Notes (i.e. 2 masks, 2 tanks, 2 wetsuits)

Date Out *

Date Due Back *
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Rental Gear
Check all that Apply. *
Mask
Snorkel
Fins
Boots
Wetsuit
Personal Dive Computer
Regulator
Buoyancy Control Device
Tank
Weights

Quantity Notes (i.e. 2 masks, 2 tanks, 2 wetsuits)

Date Out *

Date Due Back *
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
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.

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*

Relationship*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Rental Gear
Check all that Apply. *
Mask
Snorkel
Fins
Boots
Wetsuit
Personal Dive Computer
Regulator
Buoyancy Control Device
Tank
Weights

Quantity Notes (i.e. 2 masks, 2 tanks, 2 wetsuits)

Date Out *

Date Due Back *
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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