"*" indicates required fields FLY HAUS Rental AgreementName* First Last Email* Enter Email Confirm Email Mobile Phone*If we need to call or text you. (no spam)Billing Mailing Address* Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Assumption of Risks, Release of Liability, Waiver of Claims and Indemnity BY CONSENTING TO THIS AGREEMENT YOU WAIVE CERTAIN LEGAL RIGHTS INCLUDING THE RIGHT TO SUE, PLEASE READ CAREFULLY. Rental Agreement I accept full responsibility for the equipment I am renting and agree to pay for any damage to the equipment and replace it at full retail value if not returned by the agreed date. Assumption of Risks I am aware that hiking and fly-fishing involve risks, dangers, and hazards including, but not limited to, mechanical failure of the equipment, changing weather conditions, variation or steepness of terrain, variation of water depths and river currents, loss of balance, exposed rock, snow, ice, earth, plants, trees or other natural or man-made objects; negligence of other hikers or anglers; and NEGLIGENCE ON THE PART OF GEAR HAUS UNLIMITED LLC. DBA FLY HAUS, AND THEIR STAFF, INCLUDING THE FAILURE TO PROTECT AND SAFEGUARD ME FROM THE RISKS, DANGERS, AND HAZARDS OF OUTDOOR ACTIVITIES. I FREELY ACCEPT AND FULLY ASSUME ALL SUCH RISKS, DANGERS, AND HAZARDS AND THE RESPONSIBILITY OF PERSONAL INJURY, DEATH, PROPERTY DAMAGE, AND LOSS RESULTING THEREFROM. Release of Liability, Waiver of Claims, and Indemnity Agreement In consideration of the rental equipment, I hereby agree as follows: To waive any and all claims that I may have or may in the future have against GEAR HAUS UNLIMITED LLC. DBA FLY HAUS AND THEIR DIRECTORS, OFFICERS, EMPLOYEES, AGENTS, REPRESENTATIVES, SUCCESSORS, AND ASSIGNS (all of whom are collectively referred to as “THE RELEASEES”) and to Release the RELEASEES from any and all liability for any loss, damage, expense or injury including death that I may suffer, or that my next of kin may suffer as a result of or arising out of any aspect of my use of the equipment, due to any cause whatsoever, including negligence, breach of contract or breach of warranty on the part of RELEASEES in respect of the design, manufacture, selection, installation, maintenance or adjustment of the equipment, or in respect of the provision or of the failure to provide any warnings, directions, instructions or guidance as to the use of the equipment. TO HOLD HARMLESS AND INDEMNIFY THE RELEASEES from any and all liability for any loss, damage, injury, or expense to any third party, resulting from my use of the equipment. This Agreement shall be effective and binding upon my heirs, next of kin, executors, administrators, and representatives, in the event of my death or incapacity. This Agreement shall be governed by and interpreted in accordance with the law of the United States of America and the State of Vermont. Any litigation involving the parties to this agreement shall be brought within the State of Vermont. I HAVE FULLY INFORMED MYSELF OF THE CONTENTS OF THIS AGREEMENT BY READING IT BEFORE SIGNING IT. NO ORAL REPRESENTATIONS, STATEMENTS, OR OTHER INDUCEMENTS TO SIGN THIS RELEASE HAVE BEEN MADE APART FROM WHAT IS CONTAINED IN THIS DOCUMENT. I UNDERSTAND THIS IS A CONTRACT THAT AFFECTS MY LEGAL RIGHTS AND I SIGNED IT OF MY OWN FREE WILL. I am renting the following items:*Select all that apply. Fly Rod Outfit Fishing Waders Wading Boots Consent* I agree to the terms and conditions outlined above and have verified my name and contact information is correct.Signature*Date MM slash DD slash YYYY PhoneThis field is for validation purposes and should be left unchanged.