Snow Monkey, Omeo Ski Hire & Happy Valley Hub Online Hire Form

Equipment Hire

Equipment Hire - Snow sports

"*" indicates required fields

Step 1 of 2

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Name of Person Responsible for Hire*

First Last

Address*

Street Address Address Line 2 City State Postcode Country

Phone*

Email*

Select your Lodge's Location*

Mount Hotham

Falls Creek

Mount Hotham Lodges*

Falls Creek Lodges*

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Lodge Discount Percent

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LodgeDiscount

On-Mountain Address*

Where are you staying while at the snow?

Tyre Chains

Are Chains Required?*

Do you require Tyre Chains for your Vehicle?

Pickup Location*

Where do you want to pick up your Tyre Chains From?

Chains Pickup Date*

DD slash MM slash YYYY

Date you wish to pickup your chains

Number of Days for Chain Hire*

Number of Days Chain Hire is required.

Extra Days*

Additional Number of days for Chain Hire over 7 days.

Tyre Size*

Tyre Size - this can be found on the side of your tyres (eg 215/75/R14)

Chain Hire Cost

Price: $ 0.00

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Chain Hire Cost (Hidden for PDF)

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Hire Discount from Chains

Discount available due to Chains being hired

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DiscountHireRate - Minus Discount Percent

DiscountHireRate - Minus Discount Percent - Apply Manually as Not working currently

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DiscountHireRate - Minus Discount Percent (Hidden for PDF)

Ski / Snowboard Equipment

Are Skis / Snowboards Required?*

Equipment_Hire_Start_Date*

DD slash MM slash YYYY

First Day of your Equipment hire

Skis & Snowboards*

Standard Adults- Shaped Skis / Snowboards

Standard Children - Shaped Skis / Snowboards

Premium - Adults Shaped Skis / Snowboards

Demo - Adults Skis / Snowboards

Family

Standard Adults- Shaped Skis / Snowboards*

Days*

Sub Total

Standard Children - Shaped Skis / Snowboards*

Days*

Sub Total

Premium - Adults Shaped Skis / Snowboards*

Days*

Sub Total

Demo - Adults Skis / Snowboards*

Please NOTE these can ONLY be picked up from Hotham or Falls

Days*

Sub Total

Family*

Sub Total

Days ST1A2C*

Days PREM1A2C*

Days ST2A2C*

Days PREM2A2C*

Extra Adult / Child 3-4 Days*

Number Of Extra Adults or Children for any Duration of 3-4 days.

Extra Adult / Child 5+ Days*

Number Of Extra Adults or Children for any Duration of 5 days or more.

Total Ski / Snowboard Equipment

Price: $ 0.00

Discounted (if applicable)

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Total Ski / Snowboard Equipment (Hidden for PDF)

Clothing and Safety

Is any Clothing or Safety Gear Required?*

Clothing Hire Start Date

DD slash MM slash YYYY

First Day of your hire

Clothing & Safety Selection*

Adult Jacket & Pants

Child Jacket & Pants

Adult Jacket ONLY OR Pants ONLY

Child Jacket ONLY OR Pants ONLY

Helmet ONLY

Wrist Guards

Goggles

Adult Walking Boots

Child Walking Boots

Toboggan

Adult Ski/Snowboard Boots ONLY

Child Ski/Snowboard Boots ONLY

Adult - Jacket & Pants*

Days*

Sub Total

Child - Jacket & Pants*

Days*

Sub Total

Adult - Jacket OR Pants*

Days*

Sub Total

Child - Jacket OR Pants*

Days*

Sub Total

Helmet*

Days*

Sub Total

Wrist Guard*

Days*

Sub Total

Goggles*

Days*

Sub Total

Adult Walking Boots*

Days*

Sub Total

Child Walking Boots*

Days*

Sub Total

Toboggans*

Days*

Sub Total

Adult Ski / Snowboard Boots ONLY*

Days*

Sub Total

Child Ski / Snowboard Boots ONLY*

Days*

Sub Total

Clothing & Safety Gear Total

Price: $ 0.00

Discounted (if applicable)

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Clothing & Safety Gear Total (Hidden for PDF)

Hirer Details*

Name

Weight (kg)

Height (cm)

Age

Ski / Boarder

Skill Level

Shoe Size (US)

Clothing Size

Skier / Boarder: Skis, Snowboard Natural, Snowboard Goofy Skier Level: BEG (Beginner), INT (Intermediate), ADV (Advanced)

Agreement

Consent*

I have Read and Agree to the below Hire Agreement.*

I, the above signed, by virtue of my individual signature below, hereby release Snow Monkey Pty Ltd and its employees and agent from all liability howsoever arising and whether in respect of personal injury or death occurring in respect of me or any other person whosoever, or for damage to any property whatsoever resulting from the possession or use of any equipment as hired by you and inclusive of the equipment listed above. I have been made aware that the ski bindings on such equipment are of the release type designed to reduce,as far as possible, the risk or degree of injury or damage arising out falling or any form of accident, but that these bindings do not always release under all circumstances or may not be properly adjusted to release and that no warranty or representation is given or made by Snow Monkey, its employees or agents that such bindings or other equipment are such as to minimise any such injury or damage. Terms and Conditions Statement I acknowledge, by the signing of this form that the bindings were adjusted to the DIN setting based on the information listed above and that I have not misrepresented information concerning weight, height, age, and skier type to Snow Monkey or the shop. I confirm that I/we are using all equipment accepting full responsibility for any injury to me or any other person or any damage to any property and that I have read and understood the terms and conditions of the release and the equipment has only been made available to me on you receiving this conformation from me. I further agree to reimburse Snow Monkey for any loss, theft or any damage to any equipment as hired by me. I further agree that snowboard bindings are not a safety release binding, they are set as per my request and I accept possible injury or death.

Signature*

Hire Grand Total

Payment Selection*

I would like to submit the booking and pay in Person

I would like to confirm the booking and pay now by Paypal

CAPTCHA

Is On Mountain Delivery Required?*

Pickup from?*

Mount Hotham Accommodation*

Other Accommodation