Lending Library Loan Program
Service Agreement and Waiver

I acknowledge that:
1. The sole purpose of these items is to provide families with a variety of educational resources and equipment to try out.
2. Family Matters recommend that all children are supervised by an adult while using these items.
3. Family Matters accepts no responsibility for any misuse or defects found in the resources or equipment and any injuries however caused by them to the user.
4. I understand these items are lent to me on a temporary basis of 1 MONTH and that I am responsible for cleaning it and returning it in the same condition in which I received it.

I hereby waive my right to bring any action to statutory or common law arising from my borrowing these items. I acknowledge and accept that use of Family Matters property is entirely at my own risk and signing of this waiver is a precondition for Family Matters property.

I have read the above conditions and agree to abide by them.
Email *
Full Name *
Email *
Civic Address *
Phone number *
Which items you would like to borrow for 1 Month
All items must be returned directly to Family Matters at 10 Middle Road, Lawrencetown. If you have any queries don't hesitate to contact us at 902 584 2210 or by email us at fm.acfrc@gmail.com
Staff to complete below when items are collected

Items collected:










Date:

Signature of borrower:

Witness signature:

Date items to be returned:

Returned to:
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy