Equipment Receipt

To be completed by parent or legal guardian if recipient is less than 18 years of age. The word DEVICE is intended to mean either a laptop, mobile phone or tablet.

I, named here, * email, if you have one, am the parent or legal guardian of * your phone number * your child’s full name * date *

I confirm my daughter’s acceptance of the loan of a DEVICE to a Teen-Turn participant. * I confirm.

Identify here if DEVICE is a laptop, mobile phone or tablet: *

I confirm that the loan of the DEVICE is made to and solely for the benefit of my daughter. Neither Teen-Turn nor my daughter’s school is making any representations, warranties, or guarantees about the DEVICE, including any implied warranties of merchantability and/or fitness for any purpose or general suitability for use. * I confirm.

We accept the DEVICE “as is.” We accept full responsibility for all risks arising from our possession and / or use of the DEVICE and accept that Teen-Turn and my daughter’s school shall not be liable for any direct, indirect, special or consequential damages arising out of or in connection with our possession or use of the DEVICE. * We accept.

We waive and release any and all claims against Teen-Turn and my daughter’s school with respect to any and all injury, disability, death, loss or damage to property resulting from our possession or use of the DEVICE. * Yes

We agree to hold harmless Teen-Turn and my daughter’s school from any and all liability, deficiencies, costs, expenses, claims or damages of whatever kind, arising from the use of the DEVICE as at the date of this form. *

I grant permission to use the photographs showcasing my child’s participation and involvement in Teen-Turn, the name of the child under my legal responsibility, and their name and school details for any legal use including but not limited to: online media, broadcast media, print media and social media. Furthermore, I understand that no royalty, fee, or other compensation shall become payable to me by reason of such use. * Yes

Sign by entering your full name (parent or guardian name, if recipient is less than 18 years of age) * Signature of recipient, whether 18 years of age or younger, by entering of full name here: * Address where the DEVICE can be received, if not managed by my daughter’s school. DEVICE will be delivered by tracked shipment method. Address information will not be shared or stored after this delivery. * Eircode Contact Phone for Delivery *