Indemnity Form
Parent and/or Guardian
(Required)
First
Last
Guardian ID Number
(Required)
How many children do you have?
(Required)
1
2
3
4
5
Name of child 1
(Required)
First
Last
ID Number of Child 1
(Required)
Name of child 2
(Required)
First
Last
ID Number of Child 2
(Required)
Name of child 3
(Required)
First
Last
ID Number of Child 3
(Required)
Name of child 4
(Required)
First
Last
ID Number of Child 4
(Required)
Name of child 5
(Required)
First
Last
ID Number of Child 5
(Required)
Indemnity Form
(Required)
Effect of this document
The provisions of this agreement are drawn to the attention of the Indemnifying Party, where the Consumer Protection Act 68 of 2008 (“CPA”) applies to the relationship between Community Learning Hub, MiXchange Ministries, Inhloso Heritage Foundation, Heritage of Faith Ministries International, their volunteers, coaches, officers, employees, representatives, contractors, and agents (hereinafter “the Indemnified Parties”) and the Parent and/or Guardian of the minor child/children (hereinafter “the Indemnifying Party”).
The effect of this agreement is that the Indemnifying Party may have limited or no recourse against the Indemnified Parties in the circumstances described below.
1. Waiver and Indemnity
I hereby acknowledge that and consent to my child/children participating in padel and conditioning activities, including but not limited to:
- Padel training sessions
- Padel coaching
- Conditioning sessions
- Physical warm-ups, drills, games, and recreational play
- Any other related activities (“the Activity”)
These activities may take place at various indoor or outdoor venues used or arranged by the Indemnified Parties.
I acknowledge, fully understand, and accept that:
- Padel is a physical sport involving inherent risks, including but not limited to slips, falls, collisions, ball impact injuries, muscle strain, and accidental injury.
- Conditioning and training activities may present additional physical risks.
- The Indemnified Parties take reasonable steps to promote safety, but cannot eliminate all risks.
- Participation is voluntary, and I have ensured that my child is medically fit to participate.
- It is my responsibility to disclose any relevant medical, developmental, or physical conditions to the Indemnified Parties before participation.
I, the Indemnifying Party:
- Voluntarily allow my child/children to participate in the Activity.
- Assume all risks associated with participation.
- Acknowledge that the Indemnified Parties are not responsible for injuries, losses, or damages arising from participation, except where caused by gross negligence or wilful misconduct as defined in South African law.
Indemnify and hold harmless the Indemnified Parties from any claims, demands, actions, damages, losses, costs, expenses, or liability of any kind (including legal fees) arising from:
- my child’s participation in the Activity,
- damage to property, injury, or accidents occurring during or related to the Activity,
- actions of third parties, venue operators, or other participants whether suffered by me, my child, or any third party.
This indemnity extends to any medical treatment sought on behalf of my child if I cannot be reached in an emergency.
I understand and agree that:
- Parents remain primarily responsible for their children during Community Learning activities unless explicitly handed over to a coach/trainer for the Activity.
- My child must follow safety instructions and conduct guidelines.
- Misconduct or unsafe behaviour may result in removal from the Activity.
2. Medical Consent
In the event of an emergency, I authorise the Indemnified Parties, their representatives, or emergency personnel to obtain medical treatment for my child. I accept responsibility for all related costs.
Acceptance
By signing:
- I confirm that I have read, understood, and voluntarily agree to the terms.
- I understand the meaning and effect of this document.
- I accept the risks associated with the Activity.
- I had the opportunity to request clarification before signing.
For assistance or clarification, contact Liesl Reyneke at liesl@hofmi.net
3. General
- I agree that this agreement may be treated as a defense to any action or proceeding that may be brought, instituted, or taken by anyone against the Indemnified Party, its officers, employees, and agents for injuries and/or damages sustained as a result of the Activity as described herein.
- I have read this agreement and understand all of its terms, and I have executed this instrument voluntarily, wilfully and with full knowledge of its significance.
- I confirm that I fully appreciate the risks that I may be exposed to during my and my child’s/children’s participation in the Activity and that I voluntarily accept such risks.
- I hereby consent to the Indemnified Party and its officers, employees, agents, and third-party service providers lawfully collecting, processing, storing and transferring my personal information, as defined in the Protection of Personal Information Act 4 of 2013 (hereinafter “POPI Act”) in accordance with the POPI Act and to process such information in insofar as necessary.
I have read and agree to the indemnity form
Guardian Signature
(Required)
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