I have accurately represented the above listed information and it is true and correct. I will not use any of the equipment to be provided to me during this transaction until I have received instructions on its use and I fully understand its use and function. I agree to verify that the visual indicator settings to be recorded on this form for downhill ski equipment, and skiboards equipped with release bindings, agree with the number appearing in the visual indicator windows of the equipment to be listed on the form. I understand this user’s responsibility to securely wear the snowboard retention strap at all times; and I agree to verify that the bindings have been mounted and adjusted according to my instructions (snowboard only). I agree to read and execute the LIABILITY RELEASE AGREEMENT below.


I accept for use AS IS the equipment to be listed on this form, and accept full financial responsibility for the care of the equipment while it is in my possession. I will be responsible for the replacement at full value of any equipment rented under this form, but not returned to the shop. I agree to return all rental equipment by the agreed date. Equipment returned late will be charged additionally.

I understand that the binding system cannot guarantee the user’s safety. In downhill skiing, and skiboarding with skiboards equipped with release bindings, the binding system will not release at all times or under all circumstances where release may prevent injury or death, nor is it possible to predict every situation in which it will release. In snowboarding, cross country skiing, skiboarding with skiboards equipped with non-release bindings, snowshoeing and other sports utilizing equipment with non-release bindings, the binding system will not ordinarily release during use; these bindings are not designed to release as a result of forces generated during ordinary operation.

I understand that the sports of skiing, snowboarding, skiboarding, snowshoeing and other sports (collectively “RECREATIONAL SNOW SPORTS”) involve inherent and other risks of INJURY and DEATH. I voluntarily agree to expressly assume all risks of injury or death that may result from these RECREATIONAL SNOW SPORTS, or which relate in any way to the use of this equipment.

I AGREE TO RELEASE AND HOLD HARMLESS the ski/snowboard shop, its employees, owner4s, affiliates, agents, officers, directors, and the equipment manufacturers and distributors and their successors in interest (collectively “PROVIDERS”) from all liability for injury, death, property loss and damage which results from the equipment user’s participation in the RECREATIONAL SNOW SPORTS for which the equipment provided, or which is related in any way to the use of this equipment, including all liability which results from the NEGLIGENCE OF PROVIDERS, or any other person or cause.

I further agree to defend and indemnify PROVIDERS for any loss or damage, including any that result from claims or lawsuits for personal injury, death, and property loss or damage related in any way to the use of this equipment.

This agreement is governed by the applicable law of this state or province of the agreement is determined to be unenforceable, all other providers shall be given full force and effort.

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