Rental Registration and Liability Waiver First & Last Name: Address: City, County & State: Zip: Email: Phone: Release of Liability Waiver - Please check all below: The undersigned acknowledges that the reaction to, possession of, and/or use of rental equipment is potentially dangerous, and involves risk of serious personal injury, death, psychological trauma, and/or other personal and financial liability. The undersigned agrees to assume all risk and waives any and all claims of liability for personal injury, death, psychological trauma, and/or other personal or financial loss, including loss of or damage to personal items. Replacement costs for damaged or lost rental equipment: • $500 /per canvas tent • $400 /per kayak • $125 /per portable heater • $60 /per paddle • $60 /per fishing pole • $40 /per life jacket • $20 /per tackle box Digital Signature: Date: SUBMIT 33729
