Finkelstein Makerspace Liability Waiver

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Finkelstein Makerspace Liability Waiver - Minor

Email *

Name (First and Last of Parent/Legal Guardian): *

Date: *

YYYY

Address: *

Phone Number: *

Parent/Legal Guardian's Library Card Number: *

Name of Minor Child (first and last) *

Age of Minor Child *

Minor Child's library card number *

I have read and agree to adhere to the Finkelstein Library Makerspace Policies *

Yes

I am fully aware that participation in FML Makerspace activities and programs may result in risk of personal injury or harm to myself. I hereby agree to release and hold harmless Finkelstein Memorial Library, its officers, employees, volunteers, committees, and Board of Trustees, from and against any and all liability, loss, damages, claims, or actions (including attorney's fees and court costs) for bodily injury and/or property damage, to the extent permissible by law. *

Yes

I understand I shall be financially responsible for any equipment damages resulting from negligent, reckless, or wrongful use. *

Yes

I understand that this indemnification and hold harmless agreement shall include indemnity against all costs (including, without limitation, attorney's fees and court costs), expenses, and liabilities incurred in connection with any such claim or proceeding brought thereon and in defense thereof, or other claims brought by third parties (including other participating patrons) if related to my actions. *

Yes

Signature: (to be signed in person)

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