Indemnity Form


INDEMNITY FORM

I, the undersigned _______________________________ having elected to utilize the facilities of Cape Town Fishing and Diving Safaris ("hereinafter referred to as "the business") owned by Pierre Hansen Cimma (hereinafter referred to as "the owner") do hereby agree as follows:-

1. I hold harmless and indemnify the business as well as its owner, members, employees, agents, servants and officials against any claims of whatsoever nature, howsoever arising, as a result of me utilizing the facilities or occupying the vessels belonging to the owner or the business.

2. Neither the owner nor the business shall be liable for any loss or damage in any circumstances whatsoever arising from or in respect of my death, injury to my person or loss of or damage to my property, howsoever caused and howsoever arising from or relating to me utilizing the facilities of the business or me occupying the vessels belonging to the owner or the business.

3. I acknowledge that I have signed this Indemnity of my own free will and of my own volition.

4. I acknowledge that I am satisfied with the arrangements and facilities of the business and the owner.

DATED AT . ................. . .... .......on this.............. day of ..............................20....

____________________________ Signed By

For and on behalf of ______________________ in my capacity as Legal Guardian.


"WE ALWAYS FIND THE FISH"