MOBIRIDER BEACH WHEELCHAIR
QUICK RENTAL WAIVER & ACKNOWLEDGEMENT

(Consumer Protection Act – Section 49 Notice)

IMPORTANT NOTICE – PLEASE READ CAREFULLY
This document contains provisions that limit the liability of Mobirider, represented by Jan Lombaard, and which may result in you assuming risk or being responsible for loss, damage, or injury.

By signing this document, you acknowledge that you understand and accept these risks.

1. ASSUMPTION OF RISK

I acknowledge that the use of the Mobirider beach wheelchair involves inherent risks, including but not limited to:

Injury to myself or others

Loss of balance, tipping, or falls

Exposure to sand, water, slopes, and uneven surfaces

I voluntarily choose to use the wheelchair and accept full responsibility for these risks.

2. MEDICAL & FITNESS CONFIRMATION

I confirm that:

I am medically fit to use the Mobirider beach wheelchair, or

I am accompanied by a responsible carer or assistant who accepts responsibility for assisting me.

3. LIMITATION OF LIABILITY

To the fullest extent permitted by the Consumer Protection Act (CPA):

I agree that Jan Lombaard (Mobirider), its employees, agents, or representatives shall not be liable for any injury, loss, damage, or death suffered by me or any third party arising from the use of the wheelchair, unless caused by gross negligence or intentional misconduct.

4. INDEMNITY

I agree to indemnify and hold harmless Jan Lombaard (Mobirider) against any claims, demands, or legal actions brought by myself or any third party arising from my use of the wheelchair.

5. DAMAGE OR LOSS

I acknowledge that:

The wheelchair remains my responsibility during the rental period.

I may be held liable for loss, theft, or damage, fair wear and tear excepted.

6. COMPLIANCE WITH USAGE RULES

I confirm that I have:

Read or had explained to me the Mobirider Usage Rules

Understood that failure to comply may result in immediate termination of use without refund

7. VOLUNTARY CONSENT

I confirm that:

This waiver was explained to me in plain language

I was given adequate opportunity to ask questions

I sign this waiver freely and voluntarily

ACKNOWLEDGEMENT & SIGNATURE

Lessee / User Name: __________

ID / Passport No: __________

Signature: __________

Date: __________

Emergency Contact: __________