2018-2019 RAB Equipment Lending Program Contract (Ringette Association Of Burlington)

Print 2018-2019 RAB Equipment Lending Program Contract

Please complete this form and print before clicking the submit button.

Player Information

This section is for information on the child who will be using the equipment.

Child's full name^*
Is your child new to Ringette and the Association^*
YESNO
Answer either Yes or No
If NO for above please give first year registered

Acknowledgement of program information

This section verifies you have read and understand the program outlines and obligations/responsibilities

I have read and understand the outline and responsibilities/obligations of entering this program^*
YES
This box must be checked and will constitute agreement

Agreement to Provide Surety and Bond

This surety will be held in bond for the return of equipment in good and useable condition. A cheque in the amount of $400.00, dated Oct.1/18 and made payable to the Ringette Association of Burlington will be given to the Equipment Manager before equipment is released.

I agree to provide bond^*
YES
You must check the box which will constitute agreement.

Acknowledgement of Responsibility

This signifies your acknowledgement that you accept all responsibility for this equipment being loaned to you by the Ringette Association of Burlington as outlined in the program information.

I agree that I am responsible^*
YES
You must check the box and this will constitute agreement
I have been loaned the following pieces of equipment: (to be filled out at time equipment is handed to player)
$ 48 - Helmet
$ 55 - Ringette Mask
$ 45 - Shoulder Pads
$ 25 - Elbow Pads
$ 50 - Gloves
$ 65 - Girdle
$ 35 - Pants
$ 35 - Shin Pads
$ 12 - Neck Guard
$ 45 - Hockey Bag
$ 17 - Ringette Stick
To be filled out at time equipment is handed to player.