Kirksville Bike Co-op Rental Agreement

							                                                    Renter’s Name (Last, First Initial) ____________________, _____




                        Kirksville Bike Co-op Rental Agreement
Terms and Conditions of Bike Rental:
This form represents a formal agreement between the Bike Co-op and the renter. Unless other arrange-
ments are made due to extenuating circumstances, the rental period is for the duration of one academic
semester (January-mid May; mid May-early August; early August-December). The rental fee is a non-
refundable set cost. The deposit fee is variable, depending on the quality and condition of the bike. The
deposit will be refunded based on the returned condition of the bike; parts and labor expended for the re-
pair of the bike will be deducted from the returned portion of the deposit. The rental includes: a bike in
functioning condition and a combination lock and chain; we recommend the purchase of a helmet and
light. You are responsible for the maintenance and repair of the bike during the duration of the rental pe-
riod. You are encouraged to utilize the Bike Co-op for assistance with bike maintenance or to have access
to the tools, as well as attend workshops. The Bike Co-op commits to providing you with a bike that is in
functional condition and will match you with a bike that suits your needs and fits you properly. Our rental
bike fleet is limited and rentals are restricted based on availability.

Return Procedure: You are responsible for returning the bike at the end of the rental period. We will be
opened limited hours during finals week for returns. The bikes must be returned by the date posted on the
website. We reserve the right to keep the full deposit if loaned bikes are not returned. Renters who comply
to all conditions and return the bike in good condition will have preference for rental the following semes-
ter and can request the same bike.

Expectations and Liability Waiver:
By signing this form, I assume all the risks of participating in this initiative. I realize that liability may
arise from negligence or carelessness on my part, from dangerous or defective equipment or property
owned, maintained or controlled by me, or because of my possible liability without fault. I acknowledge
that this waiver form will be used by the Kirksville Bike Co-op to govern my actions and responsibilities
during the use of its services in consideration of my application and permission to participate in this pro-
gram. I hereby take action for myself as follows: (A) Waive, Release and Discharge from any and all li-
ability for my death, disability, personal injury, property damage, property theft or actions of any kind
which may hereafter accrue to me including my traveling to and from this program or using the program’s
bicycle, equipment or other facilities, the following entities or persons: The directors, officers, employees,
representatives, agents, event holders, sponsors, volunteers of the Kirksville Bike Co-op; (B) indemnify
and hold harmless the entities and persons set forth in (A) from any and all liabilities and claims arising
from my participation in this program, including my use of a bicycle belonging to the program, irrespec-
tive of whether the cause of the claims or liability arise from the negligence, acts or omissions of me, a
third party, or the program. I understand the inherent risks involved in riding a bicycle and will actively
seek to mitigate such risk. (*required)

*□ I agree to the terms and conditions detailed above.
*□ I agree to lock up the bike whenever it is not in my possession. I fully understand the conse-
quences of returning the bike in any condition other than the one I received it in. I understand that
my deposit will be used to cover expenses of repairing damage to the bike incurred during my
rental period. I understand that the Bike Co-op encourages the use of proper safety equipment
(helmet and lights), respect for pedestrians and pedestrian spaces, and obeying legal traffic laws. I
have inspected the bike with a mechanic and agree on the starting condition in which it is entering
my possession.
(please fill below, all fields are required)
                                                   Renter’s Name (Last, First Initial) ____________________, _____



Signature: ___________________________________ Name:__________________________________
Street Address: _______________________________________________________________________
Phone: ____________________________________ Email: ___________________________________


******************************** CoOp Member To Fill Out ******************************


Bike Description: ______________________________________________ Rent Date: ______________

Deposit Amount: $ ____________________           Lock Issued: Y / N          Return Date: ______________
Rental Condition: ______________________________________________________________________

____________________________________________________________________________________

Releasing Member Printed Name / Signature: _______________________ / _____________________

Date Returned: __________ Returned To (Name of CoOp Member): ____________________________

Returned Condition: ___________________________________________________________________

____________________________________________________________________________________

Deposit Returned: $ ______________ Return Address: _______________________________________


CoOp Members:
Make a copy of this form and include it with the returned deposit if it will be mailed.
☐ Check here when deposit returned/mailed.