Indemnity Form

This is a copy of the Indemnity Form which you fill out when you arrive.

PERSONAL INDEMNITY read in conjunction with standard conditions of contract

In seeking to participate on a tour conducted by Far & Wild Safaris cc

I (full name)_________________________________________________________

residential address____________________________________________________

__________________________________________________________________

do hereby warrant and acknowledge;

1. that my general health is good and there is nothing which renders me unfit to undertake a tour.

2. that I understand and appreciate fully the fact that there may well be risks, hazards and dangers involved to which I would be subjected, more particularly;

• that 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 waters;

• that I am aware of the hazards and distribution of malaria in Southern Africa; Example; you will be entering a 'Malaria area' whilst in Zululand.

• that I am aware of the potential dangers of exposure to the sun - directly or indirectly - and that serious sunburn may result from unprotected exposure.

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 ....

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