Marker Technical Manual 2021/2022 - 169

MARKER (800) 453-3862
MARKER SHOP TICKET RETAIL
08-19
Date
In:
Date
Due:
Skier Information:
Name
Last
First
Street:
City:
State:
Phone:
E-mail Address:
Local
Accommodations:
Weight:
Height:
Age:
lbs.
ft.
in.
I
AGREEMENT
(To be signed as skis are being picked up)
I understand how this equipment works and have received instructions and
satisfactory answers to any questions regarding the use and function of this
equipment. If this is new equipment, I acknowledge receipt of the manufacturer's
written instructions. If at any time this equipment does not seem to be
working properly, I will stop using it immediately and return it for inspection and
possible repair or adjustment.
I understand that proper bindings settings depend upon the accuracy of my
statements about weight, height, age, skier type on this form. I have confirmed
that the binding release/retention settings on this equipment correspond to
those stated on this form.
If this equipment is to be used by someone other than me, I certify that I am
acting as agent for the user and that I will provide this form and all pertinent
warnings and information to the user.
I HAVE CAREFULLY READ, UNDERSTOOD AND AGREED TO THE
TERMS OF THE WARNING, ASSUMPTION OF RISK, LIABILITY RELEASE,
INDEMNITY AND HOLD HARMLESS AGREEMENT AND AGREEMENT NOT
TO SUE ON THE REVERSE SIDE OF THIS DOCUMENT
Signature of Equipment User
Signature of Parent/Guardian/Agent
Equipment Information:
Skis:
Brand
Serial No.
Boots:
Brand
Boot Sole Length:
Bindings:
Brand
Brand
Other:
Model
Length:
Model
mm
Model
Model
Equipment Total:
Work Requested:
Labor Total:
Estimate:
Deposit:
TOTAL
Special Instructions:
System Inspection Record:
Boot Sole Length:
Boot Sole
Type:
(check one)
Boot /
Binding
Interface
mm
Alpine (ISO 5355)
Alpine Touring (ISO 9523)
" A " (Adult Sole)
GripWalk Adult (ISO 9523)
$
Equipment Total
Labor Total
Subtotal
Tax
$
$
$
$
$
$
cm
Date
Date
Charges
$
II
III
Initial
Taken
By:
WARNING, ASSUMPTION OF RISK,
LIABILITY RELEASE, INDEMNITY
and HOLD HARMLESS AGREEMENT
and AGREEMENT NOT TO SUE
(To be signed when bindings are being
purchased, and before bindings are mounted.)
PLEASE READ CAREFULLY BEFORE SIGNING
Zip:
1. I authorize this ski shop to perform such work that is necessary to
properly mount, test and/or repair my skis, bindings and/or boots.
Local
Phone:
Skier Type: (Check One)
2. I understand and agree that skiing and related activities are HAZARDOUS
and that injuries are common and ordinary occurrences
during these activities. I AGREE TO ASSUME ALL RISKS of death
or of injury to any part of the user's body while using this equipment.
3. For Alpine Ski Equipment, I understand that the ski-boot-binding
system is designed to release the boot from the ski when certain
forces on the system reach preset values, but that the binding WILL
NOT RELEASE OR RETAIN at all times where release or retention
may prevent injury, and that it CANNOT prevent all injuries to any
part of the user's body. I understand and agree that lower settings
on my bindings will increase releasability but also increase the risk of
injury due to inadvertent release, that higher settings on my bindings
will increase retention but also increase the risk of injury due to nonrelease,
and that injuries due to unwanted release or retention are
inherent risks of skiing.
4. I understand and agree that certain risks of skiing may be reduced,
but not entirely eliminated, by taking lessons, by following
" YOUR RESPONSIBILITY CODE " which is posted at most wintersport
areas and by using reasonable care and common sense. I further
understand that a brake or other runaway prevention system must be
used with all skis at all times, including while riding lifts and while carrying
on or near a slope, in order to reduce the risk of injury to others.
5. To the fullest extent allowed by law, I hereby agree to forever RELEASE
AND HOLD HARMLESS this ski shop, and all manufacturers
and distributors of this equipment, as well as their owners, agents,
employees and affiliated companies, from ANY AND ALL RESPONSIBILITY
OR LEGAL LIABILITY for any injuries, damages or death
to any user of any equipment listed on this form, whether resulting
from NEGLIGENCE or any other cause. I further agree that I WILL
DEFEND AND INDEMNIFY them if any claim or action is pursued for
any injuries, damages or death relating to skiing, or any related activities
involving the use of this equipment.
6. I accept this equipment " AS IS " and with NO WARRANTIES,
express or implied, beyond those stated in this agreement and in the
manufacturer's written limited warranty, if any.
7. This document is a LEGALLY BINDING CONTRACT which
supersedes any other agreements by or between the parties, and
which constitutes the FINAL AND ENTIRE AGREEMENT regarding
this transaction and this equipment. This agreement is intended to
provide a COMPREHENSIVE RELEASE OF ALL LEGAL LIABILITY
which is binding upon and for the benefit of all parties, their heirs,
agents and assigns, but it is not intended to assert any claims or defenses
that are prohibited by law. If any part of this agreement is held
to be invalid or unenforceable, the remainder shall be given full force
and effect. The specific legal rights of the parties may vary among
different states and provinces.
Skier
Code
Other __________
Alpine (ISO 5355)
GripWalk Child
Boot Sole Type and Binding are Compatible
Utilizes Pin/Tec Inserts for " Climbing Only "
Utilizes Pin/Tec Inserts for Skiing and Climbing
Pass
Test of Toes for Elastic Travel and Recentering
Test of Heels for Elastic Travel and Return
Forward Pressure Has Been Properly Set
Test of Toes for Twist Release
Test of Heels for Forward Lean Release
Left
Initial
Setting
Comments:
Special Instructions to Skier:
Technician Signature:
Final
Settings
Right
Heel
Toe
Signature of Parent/Guardian/Agent
Date
Fail
Parent/Guardian/Agent: I verify that I am the parent, guardian or
agent of the Equipment User and that I have the authority to enter
into this agreement on behalf of the Equipment User and I agree to
be bound by the terms of this warning, assumption of risk, liability
release, indemnity and hold harmless agreement and agreement not
to sue.
" C " (Junior Sole)
system approved)
(ISO Boot/Binding
Signature of Equipment User
Date
I HAVE CAREFULLY READ, UNDERSTOOD AND AGREED
TO THE TERMS OF THIS 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.
Date:
167
18.5 APPENDIX- WORKSHOP FORMS
Marker Technical Manual 2021/2022

Table of Contents for the Digital Edition of Marker Technical Manual 2021/2022
