I understand that the items that I have requested, and I am receiving for free from Choices Murphy Pregnancy & Family Center, may be used equipment. I understand that the center makes no guarantee or warranty as to the condition of the equipment. *

I have inspected for defects and accept the above-mentioned items in an “as is” condition. and that I am solely responsible for thoroughly examining it to check that it is in good working condition before my use. (Helpful resource: U.S. Consumer Product Safety Commission, www.cpsc.gov)*

I agree to indemnify and hold harmless the Choices Murphy Pregnancy & Family Center for any injuries that may occur during the use of said item(s) caused by defects or improper use of said item(s) and not the fault or responsibility of Choices Pregnancy & Family Center.*

I hereby waive and release all claims of whatsoever kind that I or my child, our legal

representatives, heirs, and relatives might have or hereafter have against the pregnancy center (fill in the name of the center), its employees, and agents.*