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HOLD HARMLESS AGREEMENT & DAMAGE WAIVER AGREEMENTfor usage of Electric Bicycles owned by Lake Street Marina, LLC

I/We, the undersigned authorized representative(s), shall be using the electric bicycle (s) owned by Lake Street Marina, LLC located in Green Lake Wisconsin, for the purpose of electric bicycle riding, herein referred to as “the activity” & “the equipment”.

 

I/We understand and agree that neither Lake Street Marina, LLC nor its trustees, representatives, employees, or agents may be held liable in any way for an occurrence in connection with the activity which may result in injury, harm, or other damages to the undersigned or members of our organization and guests, invited or not.

 

I/WE accept full responsibility for care of the Equipment while it is in my possession. I agree to reimburse Lake Street Marina, LLC for any loss or damage other than reasonable wear resulting from normal use. I also agree to reimburse Lake Street Marina, LLC for the replacement cost of any Equipment rented by me but not returned. I/WE acknowledge that my credit card will have a $100 hold on account for damages that may occur.

 

As part of the consideration for being allowed to use electric bicycle (s) in the activity, I/we hereby assume all risk in connection with participation in the activity. I/We further release Lake Street Marina, LLC, its trustees, employees, agents, or representatives for any damage which may occur while participating in the activity. I/We further agree to save and hold harmless Lake Street Marina, LLC, its trustees, employees, agents, or representatives from any claim by the undersigned member of the organization, their estates, heirs, or assigns arising out of participation in any form or fashion in the activity. I/We also authorize Lake Street Marina, LLC, its employees, or agents to render or obtain such emergency medical care or treatment as may be necessary should any injury, harm, or accident occur while participating in the activity.

 

I/We further state that I/we am/are authorized to sign this agreement; that I/we understand the terms herein are contractual and not mere recital; and that I/we have signed this document of my/our own free act and volition. I/We further state and acknowledge that I/we have fully informed myself/ourselves of the content of this affirmation and release by reading it before I/we signed it.


 April 28, 2024

 


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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.
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 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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