Indemnity Form


Please Note: This form will be given to the customer at the beginning of the tour.

 

I, the undersigned, (full names and Surname) ………………………………………………………….,

With identity/Passport number …………………………………………………………….,

 

hereby confirm and declare the abovementioned and the following to be true and correct:

 

  1. I have reached the age of majority (I am over 18 years old) and possess full legal capacity.
  2. I understand the inherent dangers and risks associated with the Tour and I assume and accept any and all risks associated with the Tour and the Tour Activities as per the accepted Itinerary notwithstanding such risks.
  3. I confirm that I am currently not suffering from any temporary or permanent physical or mental disability or illness that will affect my ability to participate safely in any of the Tour Activities as per the accepted Itinerary.
  4. I hold harmless and indemnify Local Knowledge Cape Tours (“Local Knowledge”) and/or its directors and/or employees and/or any representative of Local Knowledge and/or any supplier of Local Knowledge against
  5. I hold harmless and indemnify Local Knowledge Cape Tours (“Local Knowledge”) and/or its directors and/or employees and/or any representative of Local Knowledge and/or any supplier of Local Knowledge against:
    • any consequences arising out of my participation in the Tour, including (without limiting the generality of the aforementioned) any loss, damage, illness, injury or death due to any Tour Activities as per the accepted Itinerary, or as a result of any Tour Activities that were changed, amended or cancelled; and
    • any claims which may be made against any of them by a third party (including my dependants) where such claim arises out of or in connection with my participation in the Tour or due to any Tour Activities.
  6. I undertake to comply with the instructions of Local Knowledge’s employees.
  7. I have read and understand Terms and Conditions of Local Knowledge and I accept them.
  8. I have read and understand this indemnity form and agree to be bound by it.

 

Signed at                                                        on                                                       201     

 

Customer

Signature                                                         

 

 

Full name                                                         

 

Witness

Signature                                                          

 

Full name