Equipment Hire Equipment Hire – Snow sports "*" indicates required fields Step 1 of 2 50% Name of Person Responsible for Hire* First Last Address* Street Address Address Line 2 City State Postcode AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÃ…land Islands Country Phone*Email* Select your Lodge's Location* Mount Hotham Falls Creek Mount Hotham Lodges*Please ChooseAardvark Alpine ClubAlpine AccommodationAPEA Ski ClubArrabri Ski ClubAsgaard Alpine ClubAsterix Ski ClubAusten Alpine ClubBembookaBrush Ski LodgeBundarraBurrumbeepCSIREiger Ski ClubEumarellah Ski ClubGravbrot Ski ClubHangman's dropIHP Alpine LodgeJalanga Ski ClubKalyna Ski ClubKarnulurra Ski ClubKongoolaLangi-Taan Ski ClubLeeton LodgeMarouka Ski ClubMcMillan Ski ClubNindethanaOrmond ski clubPeninsula Ski ClubPlayers Alpine AccommodationRCHRodondoShamrockShepparton Alpine ClubTakiTallawarra Ski ClubTanderra Ski LodgeThe Lodge Ski ClubTrapdoor Ski ClubVagabondValhalla Ski ClubWangaratta Ski ClubWongungarra Alpine Ski ClubFalls Creek Lodges*Please ChooseAstra LodgeAlbury Ski ClubAlpha Ski LodgeAscom ClubAttungaAustralian Alpine clubBogong Ski ClubBSM Ski ClubCamber Ski ClubCarey Alpine ClubChorki Ski ClubCooroona Alpine LodgeCosela clubDiana LodgeFeathertop Alpine LodgeGeelong Ski ClubIcicles Ski ClubKiewa Valley Ski ClubMogul Ski ClubMyrtleford Ski ClubOldina Ski ClubRiverina Alpine ClubSki Lib LodgeTivoli Ski ClubUniversity Ski ClubWagga Alpine ClubWat Thai Ski ClubThis field is hidden when viewing the formLodge Discount PercentThis field is hidden when viewing the formLodgeDiscountOn-Mountain Address*Where are you staying while at the snow?Tyre ChainsAre Chains Required?*Please SelectYesNoDo you require Tyre Chains for your Vehicle?Pickup Location*Please SelectOvensOmeoCollingwoodWhere do you want to pick up your Tyre Chains From?Chains Pickup Date* DD slash MM slash YYYY Date you wish to pickup your chainsNumber of Days for Chain Hire*Please Select1234567 or moreNumber 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 This field is hidden when viewing the formChain Hire Cost (Hidden for PDF)This field is hidden when viewing the formHire Discount from ChainsDiscount available due to Chains being hiredThis field is hidden when viewing the formDiscountHireRate – Minus Discount PercentDiscountHireRate – Minus Discount Percent – Apply Manually as Not working currentlyThis field is hidden when viewing the formDiscountHireRate – Minus Discount Percent (Hidden for PDF)Ski / Snowboard EquipmentAre Skis / Snowboards Required?*Please SelectYesNoEquipment_Hire_Start_Date* DD slash MM slash YYYY First Day of your Equipment hireSkis & 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*Please Select123456Days*Please SelectHalf Day1234567891011121314Sub TotalStandard Children – Shaped Skis / Snowboards*Please Select123456Days*Please SelectHalf Day1234567891011121314Sub TotalPremium – Adults Shaped Skis / Snowboards*Please Select123456Days*Please Select1234567891011121314Sub TotalDemo – Adults Skis / Snowboards*Please Select123456Please NOTE these can ONLY be picked up from Hotham or FallsDays*Please Select1234567Sub TotalFamily*Please SelectStandard Skis or Snowboards – 1 Adult & 2 ChildrenStandard Skis or Snowboards – 2 Adults & 2 ChildrenPremium Skis or Snowboards – 1 Adult & 2 ChildrenPremium Skis or Snowboards – 2 Adults & 2 ChildrenSub TotalDays ST1A2C*Please Select345678910Days PREM1A2C*Please Select345678910Days ST2A2C*Please Select345678910Days PREM2A2C*Please Select345678910Extra Adult / Child 3-4 Days*Please Select0123456Number Of Extra Adults or Children for any Duration of 3-4 days.Extra Adult / Child 5+ Days*Please Select0123456Number Of Extra Adults or Children for any Duration of 5 days or more.Total Ski / Snowboard Equipment Price: $ 0.00 Discounted (if applicable)This field is hidden when viewing the formTotal Ski / Snowboard Equipment (Hidden for PDF)Clothing and SafetyIs any Clothing or Safety Gear Required?*Please SelectYesNoClothing Hire Start Date DD slash MM slash YYYY First Day of your hireClothing & 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*Please Select12345678910Days*Please Select1234567891011121314Sub TotalChild – Jacket & Pants*Please Select12345678910Days*Please Select1234567891011121314Sub TotalAdult – Jacket OR Pants*Please Select12345678910Days*Please Select1234567891011121314Sub TotalChild – Jacket OR Pants*Please Select12345678910Days*Please Select1234567891011121314Sub TotalHelmet*Please Select12345678910Days*Please Select1234567891011121314Sub TotalWrist Guard*Please Select12345678910Days*Please Select1234567891011121314Sub TotalGoggles*Please Select12345678910Days*Please Select1234567891011121314Sub TotalAdult Walking Boots*Please Select12345678910Days*Please Select1234567891011121314Sub TotalChild Walking Boots*Please Select12345678910Days*Please Select1234567891011121314Sub TotalToboggans*Please Select12345678910Days*Please Select1234567891011121314Sub TotalAdult Ski / Snowboard Boots ONLY*Please Select12345678910Days*Please Select1234567891011121314Sub TotalChild Ski / Snowboard Boots ONLY*Please Select12345678910Days*Please Select1234567891011121314Sub TotalClothing & Safety Gear Total Price: $ 0.00 Discounted (if applicable)This field is hidden when viewing the formClothing & Safety Gear Total (Hidden for PDF) Hirer Details*NameWeight (kg)Height (cm)AgeSki / BoarderSkill LevelShoe Size (US)Clothing Size Add RemoveSkier / Boarder: Skis, Snowboard Natural, Snowboard Goofy Skier Level: BEG (Beginner), INT (Intermediate), ADV (Advanced)AgreementConsent* 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 CAPTCHAIs On Mountain Delivery Required?*Please ChoosePickup from Snow MonkeyOn MOUNTAIN – Mt HothamPickup from?*Mount HothamFalls CreekCollingwoodHappy Valley Hub (Ovens)OmeoMount Hotham Accommodation*Please ChooseAardvark Alpine ClubAlpine AccommodationAPEA Ski ClubArrabri Ski ClubAsgaard Alpine ClubAsterix Ski ClubAusten Alpine ClubBembookaBrush Ski LodgeBundarraBurrumbeepCSIREiger Ski ClubEumarellah Ski ClubGravbrot Ski ClubHangman's dropIHP Alpine LodgeJalanga Ski ClubKalyna Ski ClubKarnulurra Ski ClubKongoolaLangi-Taan Ski ClubLeeton LodgeMarouka Ski ClubMcMillan Ski ClubNindethanaOrmond ski clubPeninsula Ski ClubPlayers Alpine AccommodationRCHRodondoShamrockShepparton Alpine ClubTakiTallawarra Ski ClubTanderra Ski LodgeThe Lodge Ski ClubTrapdoor Ski ClubVagabondValhalla Ski ClubWangaratta Ski ClubWongungarra Alpine Ski ClubAccommodation not ListedOther Accommodation