Bat Detector Loan Form

Bat Detector Loan Request
Name

First NameLast Name
E-mail
example@example.com
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

Town/CityCounty

Postcode
Number of Bat Detectors Required (Maximum 5 subject to availability)
Are you a member of the Community Nature Reserve?

YesNoDon't know
Requested Date of Collection (Please note: a minimum of 3 working days notice is required)

DayMonthYear
Date
Once this form has been received, we will contact you to advise when the Bat Detector(s) will be available to borrow. When you come to collect your bat detector you will need to bring proof of your name and address before we can release the bat detector(s). If you do not collect your bat detector(s) within 2 working days of the agreed collection date, they will be made available to the next hirer.
Duration of Loan Required in Days (Maximum 2 weeks)
The period of loan shall commence and cease on the dates agreed on receipt of this form. The hirer will be responsible for the equipment from the date of collection until it is returned to Thornbury Town Council, Town Hall, High Street, Thornbury, BS35 2AR.

The hirer will ensure that:

The bat detector(s) are always kept safe and secure.

The bat dectector(s) is only used for the purpose it was intended.

The bat detector(s) are returned to Thornbury Town Council on the agreed date.

The bat detector boxes include the detector and batteries.

LOSS OR DAMAGE TO THE EQUIPMENT The hirer is responsible for any
cost(s) incurred as a result of loss or damage to the equipment during the whole loan period. These costs shall not exceed a total of £150 per detector lost or damaged.
Please read the small equipment loan policy prior to signing and submitting this form
I consent to the terms and conditions of loan outlined above and contained in the Small Equipment Loan Policy and to my data being collected, stored and used in line with GDPR and the Town Council's Information and Data Protection Policy, which can be accessed at www.thornburytowncouncil.gov.uk/policies-and-procedures/ *
Signature of Hirer

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ID No. of Bat Detector(s) Issued
ID Type Provided
Proof of name and address required. Please provide details of document(s) viewed.
Date Collected

DayMonthYear
Date
Agreed Date of Return

DayMonthYear
Date
Date Returned

DayMonthYear
Date
Return Condition

Working Condition/Not DamagedDamaged but workingDamaged and not workingLost/Not Returned
I confirm that I have returned the bat detector(s) in the condition specified above
Signature of Hirer

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Bat Detector Loan Request