EQUIPMENT RENTAL AGREEMENT

(PADI International Ltd version)

____________________________________________________________________________________
Please read carefully and fill in all blanks before signing.
Your signature on this statement is required as proof that you have received the equipment stated below and
read the terms of this agreement. It is important that you read the contents of this agreement before signing it. If
you do not understand anything contained in this agreement, then please discuss it with your instructor / dive
professional. If you are a minor, this form must also be signed by a parent or guardian.
THIS AGREEMENT is entered into between _________________________________________ and
(Dive Centre / Resort Name)

______________________________________, hereinafter "RENTOR", for the rental of scuba and/or skin

(Customer/Rentor)

diving equipment. RENTOR acknowledges receipt of the equipment set out in this form.
Name:

______________________________________________

Address: ______________________________________________

Date Rented

_________________ Due Date ____________

Date Returned

_________________ Received by __________

_____________________________________________

I/D No

______________________________________

Phone

(_______) _____________________________________

I/D Type

______________________________________

Email

______________________________________________

Equipment prepared by

Local Address:

______________________________________

Local Phone:

(_______) _____________________________

Certification Level ______________________ Date ____________

______________________________________________
(Dive Centre / Resort Employee)
Certification #

______________________ Agency _________

EXCLUSION OF LIABILITY
I understand and agree that neither _________________________, _________________________,
(Dive Centre/Resort staff members)

_________________________, nor the facility through which this equipment is provided,

______________________________________, nor PADI International, Ltd., or PADI Americas, Inc., nor
(Dive Centre/Resort Name)

their affiliate or subsidiary companies, nor any of their respective employees, officers, agents or assigns
(hereinafter referred to as Released Parties) accept any responsibility for any death, injury or other
loss suffered or caused by me or resulting from my own conduct or any matter or condition under my
control which amounts to my own contributory negligence, including failure to use the equipment in
accordance with instructions, as a result of rental and/or use of the equipment.
In the absence of any negligence or other breach of duty by the staff member(s), the facility through
which this equipment is provided, PADI International Ltd., PADI Americas, Inc., and all released entities
and released parties as defined above, the rental and/or use of the equipment is entirely at my own risk.
Neither the staff member(s), the facility through which this equipment is provided, PADI International
Ltd., or PADI Americas, Inc., and all released entities and released parties as defined above accept any
liability for latent defects in the equipment of which they could not be reasonable be aware.

RENTORS NAME __________________________________________________________________

(Please Print)
___________________________________________________
Rentors Signature

_______________________
Date (Day/Month/Year)

___________________________________________________
Signature of Parent of Guardian (where applicable)

_______________________
Date (Day/Month/Year)

PRODUCT NO. 10087UK (Rev. 6/09) Version 1.1

PADI Americas, Inc. 2009

SCHEDULE OF EQUIPMENT RENTED

QTY

ITEM

SERIAL

SIZE

DAILY

AMOUNT

QTY

ITEM

SERIAL

RATE

SIZE

Cylinder(s)

DAILY

AMOUNT

RATE

Mask

Regulator

w/snorkel

w/SPG

Fins

w/console

Boots

w/computer

Gloves

BCD

Weight Belt

Exposure suit
one piece

Weights

Jacket

Light

Pants

Other

kg/lbs

dry suit
Hood
SUBTOTAL .. + TAX . = TOTAL

TOTAL DAYS

TOTAL PER DAY

TOTAL DUE

______________

____________

_____________

RETURN DEPOSIT .
CREDIT CARD

CASH

RENTOR NAME __________________________________________________________________

(Please Print)
___________________________________________________
Rentors Signature

_______________________
Date (Day/Month/Year)

___________________________________________________
Signature of Parent of Guardian (where applicable)

_______________________
Date (Day/Month/Year)

PRODUCT NO. 10087UK (Rev. 6/09) Version 1.1

PADI Americas, Inc. 2009