DEMO AGREEMENT AND TEST FORM

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Skier / Tester Information

Test Equipment is first come first serve via reservation by completing this form.

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Name*

First Name

Last Name

Phone*

Email*

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Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Ski Club or Team Name*

Dates of Ski Camp*

Location of Ski Camp*

Skier Type *

1: Type 1 skiers are usually, but not limited to, entry level skiers. They prefer smooth moderate slopes without many obstacles (bumps, moguls, jumps). They also prefer moderate speeds and never ski aggressively. 2: Type 2 skiers are those who ski a variety of terrain types at a variety of speeds. You would ski all over the mountain, possibly skiing fast down groomers and taking it slower off-piste. 3: prefer to ski fast all the time down slopes of moderate to steep pitch. If you are a Type 3, you never take a run off and dislike going slow. You are blazing down everything.

Weight*

Height*

Age *

Your Ski Boot Model*

Your Ski Boot Sole Length (mm)*

Ski Model you're looking to test *

If only testing skis or boots put "N/A" in non relevant box

Ski Length you're looking to test *

If only testing skis or boots put "N/A" in non relevant box

Boot Model you're looking to test *

If only testing skis or boots put "N/A" in non relevant box

Boot Size you're looking to test *

If only testing skis or boots put "N/A" in non relevant box

ACKNOWLEDGMENT

Signature of the Equipment User*

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Signature of the Equipment User (If a minor, the signature of a parent, guardian or agent is required) Parent, Guardian or Agent: I verify that I am the parent, guardian or agent of the Equipment User and that I have authority to enter into this Agreement on behalf of the Equipment User and I agree to be bound by the terms and conditions of this Demo Equipment Warning, Assumption of Risk, Liability Release, Indemnity and Hold Harmless Agreement and Agreement Not To Sue.

Signature of Parent, Guardian or Agent (If Minor)

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DEMO EQUIPMENT WARNING, ASSUMPTION OF RISK, LIABILITY RELEASE, INDEMNITY and HOLD HARMLESS AGREEMENT and AGREEMENT NOT TO SUE PLEASE READ CAREFULLY BEFORE SIGNING

I HAVE CAREFULLY READ, UNDERSTOOD and AGREED to the TERMS of this DEMO EQUIPMENT WARNING, ASSUMPTION of RISK, LIABILITY RELEASE, INDEMNITY and HOLD HARMLESS AGREEMENT and AGREEMENT NOT TO SUE. I AM AWARE THAT THIS IS A LEGALLY-BINDING CONTRACT. *

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Signature of Parent, Guardian or Agent (If Minor)

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Signature of Parent, Guardian or Agent

THANK YOU! Your form is now complete. PLEASE SCORLL TO THE BOTTOM

OF THIS FORM TO SUBMIT

BELOW FIELDS THE NORDICA TECHNICIAN FILLS OUT AT PICKUP

Please submit form at the bottom of this page if the above information has been filled out correctly.

Demo Ski Serial Number

Technician Only

Demo Ski Model

Technician Only

Demo Ski Size

Technician Only

Demo Boot Serial Number

Technician Only

Demo Boot Model

Technician Only

Demo Boot Size

Technician Only

Demo Ski Binding Model & Din Settings

Technician Only

Technician's Signature

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Use your mouse or finger to draw your signature above