BRANFORD, 203-481-5511, OLD SAYBROOK, 860-388-1291,

ASSUMPTION OF RISK AND RELEASE, PLEASE READ CAREFULLY BEFORE SIGNING

A) I HEREBY ACKNOWLEDGE THAT I AM AT LEAST EIGHTEEN YEARS OF AGE.

B) I AM RENTING A BIKE AND ACCOMPYING SAFETY EQUIPMENT (HELMET) FROM ACTION SPORTS.

C) ANY MINOR UNDER THE AGE OF 18 MUST WEAR A HELMET AT ALL TIMES WHILE USING THE RENTAL BIKE.

D) I UNDERSTAND THAT RIDING A BIKE CAN BE A HAZARDOUS ACTIVITY.

E) I AM RENTING THIS BIKE SOLELY FOR MY OWN PERSONAL USE.

I ASSUME ALL RESPONSIBILITY FOR ALL RISK OF DAMAGE OR INJURY THAT MAY OCCUR TO ME IN CONNECTION WITH THE USE AND RENTAL OF THE BIKE AND ACCOMPANYING SAFETY EQUIPMENT. (INITIAL)________________

IN CONSIDERATION FOR SUCH RENTAL, I RELEASE, DISCHARGE AND INDEMNIFY ACTION SPORTS AND IT’S OWNERS, EMPLOYYEES AND AGENTS AND THEIR RESPECTIVE SUCCESSORS AND ASSIGNS FROM ANY CLAIMS FOR DAMAGES AND ALL LIABILITY ARISING IN CONNECTION WITH MY USE OF THE BICYCLE AND THE ACCOMPANYING SAFETY EQUIPMENT. (INITIAL) _________________

I HAVE READ AND UNDERSTAND THE LANGUAGE AND AGREE TO ITS TERMS.

SIGNATURE: _____________________________ DATE:_____________________________________

NAME: (print) _____________________________ PHONE:___________________________________

ADDRESS: _______________________________________ CITY:_________________STATE:_______

FOR MINOR RENTALS

GUARDIAN SIGNATURE:_________________________PRINT NAME__________________________

DRIVERS LISCENCE #_____________________________________(INSTATE ONLY)

By signing this rental agreement, customer accepts full responsibility for the bike rental. if any part of the rental package is lost, stolen or destroyed CUSTOMER WILL BE CHARGED AT RETAIL LESS 20%.. Customer also agrees to fee structure below:

Rental date:____/______/_______ Time: ______________ReturnDATE: ______/_______/__________

Reserved time;_____________________ E-MAIL ____________________

BIKE MODEL________________, ID_______________ SIZE.____________

SKU_____________FEES CHARGED____________.HELMET SIZE;_________

RENTAL INFO-PLEASE CIRCLE FEES CHARGED

Bike rental fees include helmet (MC, VISA, AMEX, DISCOVERY, CHECK)

DEMO BIKE FEES: 24 HOURS OR LESS $ 50.00. **Demo weekend fee - $ 80.00 (pickup Friday return Monday) ***customer is liable for all damage to demo bike and will be charged to fix it. Demo bike fees may be deducted from a bike purchase if bought within two weeks of the rental. Demo fee returned up to max $50.00 against purchase.

Use the SKU # 25456 “Demo rental return credit” against purchase of a bike. Asbikerentfees11.doc