New Wave Lacrosse Girls Equipment Rental Agreement Participant's Name: ______________________________________ Date:_____________ Address:_______________________________ Town:__________________ ZIP:________ Phone: _______________________ Email:______________________________________ Parent’s Name:____________________________________________________________ Program: __________________________ Date:________________________________\ Full Gear, girls. Entire session: Goggles and Stick $25.00 Full Gear, girls. MiniSession: 13 Days $15.00 Goggles Only $15.00 Stick Only $10.00
EQUIPMENT RENTED GOGGLES: ________ STICK: ________ COST OF RENTAL: ________ I understand that all lacrosse equipment is to be returned in good condition at the end of the rental time. If equipment is not returned, I understand that my deposit will be forfeited as part of the purchase of equipment. Your deposit of $75.00 will be charged to your credit card/check if rented equipment is returned in unacceptable condition or not returned within 1 week after the end of agreed session. If the equipment is returned after 1 week, a $15 additional administration fee will be charged. x________________________________________ Total payment received____________________________ Method______________________ Credit card information: Visa, MasterCard, Discover, NO AMERICAN EXPRESS Card Type:_______ Card #________________________________________________ EXP: ___/______ Sec Code:_____ Billing Zip Code:____________