Equipment Loan Request form (Belle River District Minor Hockey Association)
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Equipment Loan Request form
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Equipment Loan Request form
This form needs to be filled out and submitted to the BRDMHA Board of Directors for any equipment on Loan. Loaned equipment will be made available on a first come first served basis.
Borrowers Information
Full Name
*
Address
*
Phone Number
*
Example: ###-###-####
Email Address
*
Example: yo
[email protected]
. Your submission will be sent to this address.
Users Name
*
Team
*
Example: Novice Team 1, Summer Camp
Borrowed Equipment
Select Equipment to be borrowed
Goalie Pads
Blocker
Goalie Glove
Goalie Stick
Chest Protector
IPAD - GAME SHEETS
Check All That Apply
Loan Period From
*
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Loan Period to:
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Internal Notes
Borrower Responsibilities
This Equipment Loan Agreement (“Agreement”) and the responsibilities as outlined hereunder are not transferable without the written approval of Belle River District Minor Hockey (BRDMHA). By executing this Agreement, the Borrower agrees to comply with all terms set forth herein and the guidelines associated with the loan of Equipment.
A. INSURANCE / DEPOSIT
The Borrower is responsible for the full cost of repair or replacement of any or all of the Equipment that damaged, lost, confiscated, or stolen from the time Borrower assumes custody until it has been received back. A postdated cheque made out to BRDMHA is required in the amount of $300 dollars for Goalie Equipment and $600 for Apple IPADS which will be cashed if equipment is not returned, or returned in a condition that is beyond the standard wear and tear.
B. USE/DISCLAIMER
The Borrower shall be responsible for the proper use of the Equipment. Goalie Equipment is not to be used on Cement or Asphalt surfaces where they can be damaged.
C. DELIVERY AND RETURN OF EQUIPMENT
The Borrower shall be responsible for the safe return of all equipment.
In the event BRDMHA has to make arrangements for the return of the Equipment, the Borrower shall be responsible for all costs incurred by BRDMHA, including labor costs, to obtain the return of the Equipment.
D. MAINTENANCE AND REPAIR
Equipment shall be returned to BRDMHA in as good a condition as when received less standard wear and tear. The Borrower agrees to assume all responsibility for maintenance and repair beyond standard wear and tear All maintenance and repair of Equipment shall be performed by approved personnel
E. INDEMNIFICATION
In consideration for the Equipment loan, the Borrower agrees to indemnify, defend and hold BRDMHA harmless from any and all damages, losses, claims, causes of actions, expenses and liability of any nature whatsoever associated with its use of the Equipment.
By agreeing to these terms and conditions it is considered a Digital Signature of the Borrower.
I agree to the terms and conditions stated above
*
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