Bicycle Rental/Use Agreement and Waiver Form
READ THIS DOCUMENT COMPLETELY BEFORE COMPLETING AND SIGNING. ITS EFFECT IS TO RELEASE ECHELON CYCLES AND THEIR EMPLOYEES FROM ANY LIABILITY RESULTING FROM YOUR PARTICIPATION IN THE ACTIVITIES DESCRIBED BELOW, AND TO WAIVE ALL CLAIMS FOR DAMAGES OR LOSSES AGAINST THE COMPANY WHICH MAY ARISE FROM SUCH ACTIVITIES EVEN IF THEY RESULT FROM NEGLIGENCE.
Renter’s full name:_____________________________________________________________________
Date of Birth:_____________________Age:________________ Today’s Date:_____________________
Time Rented:_________________________Time Returned:_____________________________________
Equipment: Bicycle Helmet Lock and Key
Drivers license # and state here:______________________________
I, the undersigned (hereinafter “Renter”) accept for use the equipment listed on this form and, exercising my own free choice to participate voluntarily in these activities, and promising to take due care during such participation, I accept full responsibility for the care and use of this equipment. I understand that bicycling is a hazardous activity. I understand that the sport of bicycling and the use of this equipment involve a risk of serious bodily injury, or death, as a result of accidents, equipment failures, or other causes. I hereby agree to freely and expressly assume and accept any risks and all injury to myself, my personal property, and any others injured or damaged as a result of my use of this equipment. I understand that bicycle protective gear such as helmets and gloves are recommended, but they do not eliminate the risk of injury in the event of an accident.
Further I hereby indemnify and hold harmless, Echelon Cycles, and their members, agents, employees, and any other persons or entities acting on their behalf, and the successors and assigns for any and all of the aforementioned persons and entities, against any and all claims, demands, and causes of action whatsoever, whether presently known or unknown, of any person who suffers any injury, disability, death or other harm, to person or property or both, as a result of my participation in and/or use of the Echelon Cycles’s rentals.
I agree to check in any bicycle in need of repair at Echelon Cycles. I agree to notify Echelon Cycles of any and all repairs that the bicycle needs at check in. The equipment, at all times, remains the exclusive property of Echelon Cycles. The Renter is responsible for damage to or loss of the equipment. If the equipment is lost, destroyed or damaged beyond repair in the judgment of Echelon Cycles, the Renter agrees to pay Echelon Cycles the full replacement value of the equipment. All repairs needed as a result of abuse of the equipment will be performed at the normal labor rates and the cost of such repairs, including parts, shall be paid by the Renter.
I agree to follow all laws pertaining to the riding of a bicycle pursuant to all state and local laws and the rules and regulations pertaining to bicycles in New York State. I agree that I am solely responsible and will not hold Echelon Cycles liable for any fines incurred by me for violations while riding their rental bicycle.
This document constitutes the final and entire agreement between Echelon Cycles and the undersigned. Echelon Cycles itself provides no warranties express or implied. THERE IS NO WARRANTY OF MERCHANTABILITY OR FITNESS FOR A PARTICULAR PURPOSE, and this equipment is accepted "AS IS."
I have had sufficient time to review and seek explanation of the provisions contained above, have carefully read them, understand them fully, and agree to be bound by them. After careful deliberation, I voluntarily give my consent and agree to all the terms and conditions set forth above.
I HAVE READ, UNDERSTOOD, AND AGREE TO THE ABOVE TERMS THIS_________DAY OF
Signature of Renter whose printed name appears above: _________________________________________