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.
November 10, 2024
|