Shanine Indemnity form

SHANINE INDEMNITY FORM

Indemnity Form

SHANNINE INDEMNITY FORM

Hiking Trail

Email Address

Nationality

Adress in Cape Town

Good health?

Yes

Full Name Participant 1

Mobile Number 1

Full Name Participant 2

Mobile Number 2

Full Name Participant 3

Mobile Number 3

Full Name Participant 4

Mobile Number 4

Full Name Participant 5

Mobile Number 5

Full Name Participant 6

Mobile Number 6

Full Name Participant 7

Mobile Number 7

Full Name Participant 8

Mobile Number 8

Full Name Participant 9

Mobile Number 9

YES I AGREE

This form can be completed in advance, but it will only come into effect at the beginning of the scheduled hiking activity. Participation in this hiking adventure involves inherent risks. I fully understand and accept that all activities are undertaken at my own risk. I acknowledge that Muki Venture Pty Ltd. assumes no responsibility for any loss, injury, or damage to persons or property that may occur during participation in hiking activities, including, but not limited to, transport to and from the activity location. I hereby consent to the use of photos and video recordings taken during the hike, granting Muki Venture Pty Ltd. the right to use such media, free of charge, at their discretion for marketing and communication purposes.