Loading...

ABSOLUTELY CHICAGO SEGWAY TOURS
An Absolutely Chicago Gliding Tours, LLC Company
238 E. Monroe, Chicago, IL 60601

SEGWAY TOUR AGREEMENT, ASSUMPTION OF RISK, WAIVER AND RELEASE
BY SIGNING THIS DOCUMENT YOU ARE WAIVING LEGAL RIGHTS AND ENTERING INTO A BINDING RENTAL AGREEMENT IN WHICH YOU ASSUME RISK AND AUTHORIZE CREDIT CARD SUBMISSIONS PURSUANT HERETO. PLEASE READ CAREFULLY.

The undersigned hereby rent a SEGWAY HUMAN TRANSPORTER (HT) and for and in consideration of being allowed to rent and participate in a Segway Tour, hereby agree as follows:

1. The undersigned acknowledges that he/she intends this agreement to release, hold harmless and indemnify Absolutely Chicago Gliding Tours, LLC (ACGT), from any liability of any type or nature for injuries or damage of any type or nature to the fullest extent allowed under Illinois Law. I further understand that renting a Segway Human Transporter, (HT) and participating in tour activities is an inherently dangerous activity. Not only the operation of the HT is inherently dangerous, but there is an inherent danger of negligent activity of the operator and other operators, trainer and/or others along the tour routes, including vehicles, bicycle and pedestrian traffic, as well as obstructions and terrain along the route of the tour.


2. I hereby agree to assume all risks associated with the rental of a HT and participation in a tour, including negligence on the part of the trainers or defects in the HT equipment. I further assume all risks that arise from participation in this inherently dangerous activity. 


3. By signing below I represent that I am physically capable of operating an HT and have received instruction on operation of the HT, the guidelines for use and a safety helmet and by initialing the below paragraph acknowledge the representations therein. 


4. I am at least eighteen (18) years old or twelve (12) to seventeen (17) years old and accompanied by my parent or legal guardian who shall sign below, I weigh at least 100 pounds but not more than 260 pounds and I can climb and descend stairs without support or assistance and have no balance or equilibrium problems, I do not suffer seizures and do not believe I am pregnant. I have vision sufficient for operating a HT and can hear instructions and warnings. 


5. The use of handheld devices; i.e., cameras, phones, etc., is strictly prohibited while operating an HT. I understand the tour shall stop from time to time at which time photos or use of other handheld devices is allowed. 


6. I understand I am responsible for any damage caused to the HT during my tour. I acknowledge I have reviewed the cost of replacement parts and HT posted at the facility. I have secured this obligation by credit card deposit and I authorize ACGT to submit such cost in the event of damage. I have noted any damage on the HT. I agree not to proceed on the tour if I or the trainer am not satisfied I can safely operate the HT after the basic training provided for participants without financial penalty. 


7. I further agree that if I do not follow the rules, regulations and instructions of the tour guide; my tour and/or everyone in my group’s tour shall be immediately terminated and I shall return with the tour guide and HT to the origin point of the tour. In the event I fail to return with the tour guide and the HT to the origin point of the tour or abandon the HT, I will be charged $150.00 for damages and may be charged with theft. 


8. I hereby RELEASE, WAIVE, DISCHARGE AND COVENENT NOT TO SUE ACGT, THEIR OWNERS, AFFILIATES, EMPLOYEES, TRAINERS, OPERATORS, PARENT COMPANIES, OFFICERS AND DIRECTORS. I AGREE TO INDEMNIFY AND HOLD HARMLESS ACGT FOR ANY AND ALL COSTS OR EXPENSES IT MIGHT INCUR AS A RESULT OF ANY CLAIMS RESULTING FROM MY HT RENTAL AND PARTICIPATION IN A TOUR OR MY DEATH, DISABILITY, PERSONAL INJURY OR PROPERTY DAMAGE. I FURTHER AGREE TO BE RESPONSIBLE TO ACGT FOR ANY AND ALL DAMAGES CAUSED TO THE HT RENTED. I UNDERSTAND THIS OBLIGATION TO INDEMNIFY AND HOLD HARMLESS AND COVENANT NOT TO SUE ACGT APPLIES EVEN IF ACGT WAS NEGLIGENT. 


I hereby acknowledge I have read and understand this document, including the waiver of my rights for myself and/or the minor participant.

Today's Date: May 11, 2024

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Age Acknowledgment*
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*

Last Name*
Second Participant's Date of Birth*
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
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.
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
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 Age Acknowledgment*
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.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver - TRY IT FREE!