:FORM OF INDEMNITY FOR UNACCOMPANIED YOUNG PASSENGERS (12 AND UNDER 16 YEARS)

Location

Date:
SURNAME
FIRST NAME
AGE
SEX
OUTWARD JOURNEY:
Flight
Date
Month
Day
Year
From
To
RETURN JOURNEY:
Flight
Date
Month
Day
Year
From
To
I am the parent/guardian of the above mentioned passenger(s) and herewith give him/her permission to travel unaccompanied. I understand that
Aer Lingus will not provide any special assistance to the above mentioned passenger(s).
I hereby indemnify and hold harmless Aer Lingus Limited and/or other carriers, their personnel and agents from and against any loss or damage
sustained and/or any costs and expenses incurred by them in connection with the above mentioned passenger(s) travel or resulting therefrom
and to release them from any and all liability other than as set forth in Aer Lingus' General Conditions of Carriage and applicable Tariffs.
* I certify the passenger(s) is/are possession of a valid passport(s), health certificate(s) and has any necessary visa(s) for the trip.
PARENT/GUARDIAN:
Name
Address
City
State
Zip/Postal Code
Phone No
Signature
Date
PNR REFERENCE(S)
*Delete this provision if not applicable