Check In for Fixit Clinic

It helps us to know in advance what you're bringing and what's wrong with it. And while walk-ins are always welcome, we'll give priority to participants who fill out this form in advance.

Thanks, and see you at the Fixit Clinic!

Which Fixit Clinic / Repair Event are you attending?
For dates and locations without specific info link please check back
What are you bringing?
(E.g. "toaster" or "chair"), make and model. (Fill out this form again if you're bringing multiple items.)
Your answer
What's wrong with it?
Provide as much detail as you can as to how it's acting up. Did the symptoms manifest gradually or was there "an event"? Can you reproduce the symptoms reliably or is it intermittent?
Your answer
What have you done to try and fix it?
Your answer
OPTIONAL, BUT HELPFUL: What does the item weigh? (in decimal lbs. please)
(e.g. "3.5 lbs" not "3 lbs. 8 ozs.") This is helps us assess our waste stream diversion impact
Your answer
Can we contact you?
No promises, but someone might contact you to get more information to have a better chance of fixing your item.
Liability Waiver
In consideration for being allowed to participate in the event I hereby waive, release and forever discharge Fixit Clinic, its employees, agents and volunteers, and any others acting on their behalf, from any and all responsibilities or liability from damages or injuries of any kind to my property, anyone else's property, or to me or any other person, in my party or otherwise, as a result of my participation in this event. I hereby grant Fixit Clinic and its agents the absolute and irrevocable right and unrestricted permission to use photographs and video taken at the event.
Email address
Your answer
How did you hear about Fixit Clinic?
Your answer
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