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C O M M U N I T Y T O U R I S M I N I T I A T I V E |
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INDEMNITY AGAINST LIABILITY I (full name) ... , ID/Passport no: ................... . The parent/legal guardian of: (Full name)
ID/Passport no: ................... Hereby acknowledge that: I have read the information document provided and I have familiarised myself with the content thereof. I will take all the necessary precautionary steps as set out in that document. I have informed the offices of Amadiba Adventures of any medical condition(s) that I/my minor have and I have instructed them on the necessary actions to be taken in case of an emergency or worsening of my/my minors condition(s). I take note that riding helmets are provided and I understand, appreciate and consent to the increased risk of injury in case of an accident, should I choose not to wear it. I/ and my minor understand and acknowledge that horse riding, hiking and camping in the bush is hazardous. I am undertaking this trip on the Amadiba Trail of my/our own volition and in the full knowledge of potential risks. I will not hold Amadiba Adventures, its officers, employees, agents or contractors responsible for any injury, illness, harm or death, to myself howsoever caused including negligence of any degree by any of the abovementioned parties. I will also not hold Amadiba Adventures, its officers, employees, agents or contractors responsible for any loss or damage to my property, howsoever caused, including negligence of any degree by any of the abovementioned parties. I / and my minor indemnify Amadiba Adventures, its officers, employees, agents or contractors against any claim that my minor might institute against any or all of these parties. I hereby delegate the person in immediate charge and control of Amadiba Adventures the authority to consent to medical treatment, hospitalisation and/or surgery by qualified medical staff in the event of an emergency. Signature .. Date |
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| Please copy and paste this document to a Word editor, print and kindly fill out, sending it back to us via mail, fax or E-mail. Contact details can be found HERE | ||||||||||||||||||||||||
