DECLARATION


by ................................................................................................................... (Passport/ID No: ............................................................;


Address: ......................................................................................................; Phone: ...............................................................................

Email: ...........................................................................................................), hereinafter: the Volunteer.

I, as the undersigned Volunteer, hereby declare that I undertake and comply with the following:

  1. Within the framework of the project "Citizen Science to Improve Air Quality" launched by Clean Air Action Group (CAAG, Levegő Munkacsoport), I borrow the portable air quality measuring device "Atmotube PRO" number ................................................................. from CAAG in order to measure the air quality first of all in one or more children's playgrounds and also in other outdoor and indoor places which I visit with my child(ren).
  2. I take responsibility to accumulate and share the data registered by the device throughout my experience period with CAAG.
  3. This declaration is operative for the period from ..................................................... to .............................................. Upon expiration of this period I shall return the Atmotube PRO device to CAAG without delay. If I requess additional time to use the measuring device, CAAG might provide the measuring device to me for a second round, but only for a period defined by CAAG.
  4. A notice about the necessity to deliver the Atmotube PRO back to CAAG will be sent to my above email address two days prior to the expiration date. In the case I wish to terminate my involvement in the project at any time, I should contact CAAG immediately and return the Atmotube PRO to CAAG without delay.
  5. I agree to use the Atmotube PRO only in accordance with the description in the Annex to this declaration.
  6. In case if I lose or damage the Atmotube PRO device, I shall provide a compensation to CAAG in the amount of HUF 55,000 [https://atmotube.com] within 14 day from the expiration of the period described in point 3. of this declaration.

Budapest, _______________ 2019


                                                                                                                                Signature of the Volunteer