Download Equipment Checkout Form.
Download Equipment Checkout Form.
Download Equipment Checkout Form.
You also want an ePaper? Increase the reach of your titles
YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.
SCUBA Rental <strong>Form</strong><br />
Outdoor Recreation<br />
242 Fort Mervine Place, #1<br />
Monterey, CA 93944<br />
Phone 831-242-5506<br />
Fax 831-242-6310<br />
Due Date _____/_____/_____<br />
Rent Date _____/_____/_____<br />
Please fill out the following information.<br />
Sponsor Name ___________________________________ Rank ____________ Branch ____________<br />
Military ID # ______________ Expiration Date _____/_____/_____ Unit/Organization ______________<br />
Address ______________________________ City ________________ State _____ Zip code _______<br />
Phone (____) _____-_______ Alternate Phone (____) _____-_______ Fax (____) _____-________<br />
Email Address _________________________________________<br />
! Sponsor must be an authorized patron of FMWR Activities.<br />
Please see an ODR Staff Member to complete the following information.<br />
Quantity Item Number Wk/Day Wk/End Total<br />
Wetsuit Top $5 $7<br />
Wetsuit Bottom $5 $7<br />
Wetsuit Hood $4 $5<br />
Full Wetsuit Mens SIZE _________ $10 $15<br />
Full Wetsuit Womens SIZE ________ $10 $15<br />
Hood $4 $5<br />
Booties $3 $5<br />
Gloves $3 $5<br />
Buoyancy Compensator $15 $20<br />
Regulator (with octopus & full console) $15 $20<br />
Weight Belt $4 $6<br />
Fins $3 $5<br />
Mask & Snorkel w/keeper $3 $5<br />
“Short Set” (fins, gloves, full wetsuit, belt w/lb, reg & SPG,<br />
$40 $60<br />
BC & SPG, and one tank)<br />
“Long Set” (mask, snorkel, fins, booties, gloves, full wetsuit,<br />
$45 $68<br />
belt w/lb, reg & SPG, BC & SPG and two tanks)<br />
“Snorkel Package” (wetsuit, hood, booties, gloves, fins,<br />
$15 $25<br />
mask & snorkel)<br />
Tank $7 $10<br />
FEE for tank returned under 300 PSI $25<br />
FEE for personal tank refill $4<br />
FEE for tank hydro $32<br />
FEE for tank VIP $15<br />
Kelp Klimber Discount – Membership # ___________<br />
SUBTOTAL<br />
20% off<br />
Total<br />
Page 1 of 2<br />
Rev. 1.15.09
SCUBA Policy, Agreement & Release Liability<br />
Outdoor Recreation<br />
242 Fort Mervine Place, #1<br />
Monterey, CA 93944<br />
Phone 831-242-5506<br />
Fax 831-242-6310<br />
Policy<br />
! No refunds on any rentals returned unused.<br />
! Cancellations of reserved equipment will not be refunded.<br />
! Gear not returned clean will be charged a $10 cleaning fee. Rinse everything with cold, fresh water.<br />
! Gear returned with damages will be charged applicable fees.<br />
! Regulators returned with missing clips will be charged a $15 fee.<br />
Agreement and Release Liability<br />
! I am aware that SCUBA or Skin Diving is a hazardous activity with an inherent risk. I am voluntarily<br />
participating in these activities with full knowledge of the dangers involved and agree to accept all risks<br />
of loss, injury or death.<br />
! I have inspected the equipment I am renting and agree it is in correct working condition and that I<br />
understand the proper use of the equipment.<br />
! I understand that I will be charged a $25 fee for each tank returned under 300 PSI.<br />
! If I have rented SCUBA equipment, I hereby certify that the certification card I have presented is my<br />
own and that I will be the only person to use the equipment that I have rented.<br />
o PADI Certification Card Number ____________________________<br />
Damage Release <strong>Form</strong><br />
I, ______________________________________, have inspected the equipment I am renting from ODR.<br />
The equipment I am renting is free from rips, tears, burn marks, holes, dings, dents, etc., and is in good<br />
working condition unless otherwise noted below. I will assume all responsibility for this equipment and am<br />
prepared to pay for applicable fees if I return the equipment late or damaged.<br />
By signing below I hereby agree to the above statements regarding rental policy, agreement, liability and<br />
damages.<br />
Signature ________________________________________________ Date _____/_____/_____<br />
Gear/<strong>Equipment</strong> Numbers and/or Sizes<br />
SCUBA Gear _______________________________________________________________________<br />
Kayak <strong>Equipment</strong> ____________________________________________________________________<br />
Surfing/Boogie ______________________________________________________________________<br />
Snorkel ___________________________________________________________________________<br />
Note all damages below.<br />
_________________________________________________________________________________<br />
_________________________________________________________________________________<br />
_________________________________________________________________________________<br />
Page 2 of 2<br />
Rev. 1.15.09
Change language