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Ebike Waiver
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Ebike Waiver
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Rider(s) on tour
*
1
2
3
4
Family of four is allowed to fill 1 waiver per family. **please note: Name must match a valid id, (passport or drivers license)
Booking Date / Time
Date
Time
Name
*
First
Last
Name
*
First
Last
Name
*
First
Last
Name
*
First
Last
Underage consent
*
As the parent or legal guardian of the child/ children mentioned above I give my full consent for them to participate in this tour.
Age
Are you or anyone in your group under the age of 18yrs
Primary Contact Birth Date
*
Must have parents consent if under 16 years of age
Address
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Address Line 1
Address Line 2
City
State / Province / Region
Postal Code
Afghanistan
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American Samoa
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Country
Email
*
Phone
Disclaimer
*
You have read and agree to the terms below.
THIS IS A WAIVER AND RELEASE OF LIABILITY – YOU MUST READ AND FULLY UNDERSTAND THIS BEFORE SIGNING – IF YOU ARE UNDER THE AGE OF 18, YOUR PARENT OR LEGAL GUARDIAN MUST SIGN THIS.
I AM AWARE THAT THE ABOVE – DESCRIBED ACTIVITIES ARE HAZARDOUS ACTIVITIES, AND I AM VOLUNTARILY PARTICIPATING IN THESE ACTIVITIES WITH KNOWLEDGE OF THE DANGER INVOLVED, AND AGREE TO ASSUME ANY AND ALL RISKS OF BODILY INJURY, DEATH OR PROPERTY DAMAGE.
I hereby agree that I, my assignees, heirs, distributees, guardians, next of kin, spouse and legal representatives will not make a claim against, sue, or attach the property of Ebikes Tour Inc or any of their affiliated organizations for injury or damage resulting from the negligence or other acts, however caused, by any director, employee, agent, or contractor of Ebikes Tour Inc or any of their affiliated organizations as a result of my participation in the activities described above. I forever release Ebikes Tour Inc, and any of their affiliated organizations from any and all action, claims, or demands that I, my assignees, heirs, distributees, guardians, next of kin, spouse and legal representatives now have or may hereafter have for injury or damage resulting from my participation in the activities described above.
You agree that you are responsible for yourself and the bike while in your possession for any accidents or incidents that may arise due to your negligence or any other instance where you are found to be at fault. Ebikes tour inc will not be held responsible whatsoever. You will be required to replace any lost or broken equipment that may be provided for your use during the tour such as bike parts, helmets and reflective safety vests. You agree that before and upon return from the tour that all equipment given to you will be checked for condition and will be charged to you in such a case where loss or damage to Ebikes tour Inc property is found.
Photo Release
I, hereby grant and authorize Ebikes Tour Inc the right to edit, alter, copy, any and make use of all photos and or videos taken of me to be used in and/or for promotional materials without payment on consideration. The grant of use includes but is not limited to publishing on Internet and e-mails, magazines, pamphlets, advertisement fliers, and in whatever other manner the photographer finds useful or for any other lawful purpose.
I understand and agree that the materials / photos will become Ebikes Tour Inc property and will not be returned. This release extends to all formats, media, languages and formats now known or hereafter developed. This Release shall continue indefinitely, unless I otherwise revoke said Release in writing.
In addition, I waive any right to royalties or other compensation arising or related to the use of the photos. I hereby release rights to all claims, demands, and causes to action which I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf of my estate have or may have by reason of this.
I HAVE CAREFULLY READ THIS AGREEMENT AND FULLY UNDERSTAND ITS CONTENTS. I AM AWARE THAT THIS IS A RELEASE OF LIABILITY AND A CONTRACT BETWEEN MYSELF AND EBIKES TOUR INC AND/OR THEIR AFFILIATED ORGANIZATION, AND SIGN IT OF MY OWN FREE WILL.
Insurance option
Insurance covers rider from most instances that may cause damages to Ebikes Tour Inc property – $10 per person
**Selecting this option protects you from most charges that may arise in regards to damaging any of our equipment. Please note that insurance does not cover any bodily injury and strictly relates to the physical condition of the rented bike/ property belonging to Ebikes Tour Inc. Loss of property is not covered and will be charged back to you. Insurance does not cover damages caused by negligence.
Purchase insurance for?
1st rider – $ 10.00
2nd rider – $ 20.00
3rd rider – $ 30.00
4th rider – $ 40.00
Please note: if you opt for partial insurance coverage, the insurance coverage will be referenced against the equipment that was assigned to you.
Total
$ 0.00
Method of payment
*
Card
Name on Card
Signature
*
Clear Signature
Submit