Kauai Wheelchair Agreement & Waiver Forms


Please ensure that both documents below are printed out and signed prior to renting a mobility equipment. If you are unable to print a copy, please inform us and we will be happy to provide a prepared copy when your mobility equipment is picked up or delivered.

For safety reasons, A1 Lift or Kauai Wheelchair members are not permitted to assist with lifting passengers into or out of wheelchairs or scooters. They are also unable to provide assistance with swimming, dressing, toileting, or other tasks. 




Release of Liability Form
Adobe Acrobat document [65.1 KB]
Kauai Wheelchair Rental Agreement
Kauai Wheelchair Rental Agreement.pdf
Adobe Acrobat document [69.8 KB]
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