HAND RECEIPT FOR SAPC EQUIPMENT
RELEASE OF LIABILITY
I__________________________________ acknowledge receipt
of the following items of SAPC loaner equipment:
____________________________________ -List 1 item per line
____________________________________ -X through all
____________________________________ unused lines
I agree to be responsible' for the above equipment and repair or
replace any lost or damaged equipment above and beyond normal
wear and tear. Further I will replace any items used from the first
aid kit. Also I will return items in a clean and dry condition and
will sterilize the toilet if used.
SAPC makes no claims as to the performance or correct use of the
loaner equipment. SAPC will not be responsible for any
consequential or incidental damages caused by or resulting from
the use or performance of SAPC loaner equipment. I agree to
release SAPC and all club members from any and all liability
resulting from the use of this equipment.
I plan to return the equipment by ________________________.
Printed Name: __________________________
Signature: _________________________ Date: ____________
Items Returned OK and clean: _________ Date: ____________