This is a copy of the Indemnity
Form which you fill out when you arrive.
read in conjunction with standard
conditions of contract
In seeking to participate
on a tour conducted by Far & Wild Safaris
I (full name)_________________________________________________________
do hereby warrant and acknowledge;
my general health is good and there is nothing which renders me unfit
to undertake a tour.
I understand and appreciate fully the fact that there may well be
risks, hazards and dangers involved to which I would be subjected,
there will not always be protection in the form of fences, buildings
and vehicles in which to take cover, and that exposure to one or more
of the following potentially dangerous animals, such as lion, hyena,
buffalo, rhinoceros, leopard, hippo, buck, warthog, bushpig, wildebeest,
as well as poisonous snakes, spiders, insects and plants and other
natural hazards may occur whilst on tour; that rivers and dams
may contain bilharzia and sickness may result upon entry into such
I am aware of the hazards and distribution of malaria in Southern
Africa; Example; you will be entering a 'Malaria area' whilst in Zululand.
I am aware of the potential dangers of exposure to the sun - directly
or indirectly - and that serious sunburn may result from unprotected
I accept your 'standard conditions
of contract' and I voluntarily assume the risk inherent in taking part
in such a tour and I, together with my heirs, executors and administrators
hereby release Far & Wild Safaris cc, its officers, servants, agents
and representatives, from any duty or care towards me, in connection with
my participation in any tour, and from liability from all or any claims
that could accrue to me or my heirs, executors and administrators arising
out of my participation in the tour or in any related activities irrespective
of whether such claim or claims arose through the negligence of any person,
or from any of the risks, dangers or hazards inherent in an African tour,
or of any loss of, or damage to, any property from any cause whatsoever
and I further indemnify and hold harmless associated persons against any
claims howsoever the same may arise.
Signed at ............................
this ....................... day of ...................... 20 ....