Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Parent/Legal GuardianParent/Legal Guardian Full Name and Surname *FirstLastPassport Number *Email Address * Witness Email Participant MinorMinor Full Name and Surname *Minor Passport Number *Indemnity Agreement1. I, In my capacity as parent/legal guardian of Minor, do hereby indemnify the members and staff of Witkruis SAFARIS and all or any of its associate companies, organizations or persons acting for, through or on its behalf, against any loss or damage whatsoever caused directly or indirectly by delays, sickness, injury, death or loss or damage to property whether occasioned by negligence or not, or any expenses arising here from, which I may suffer while with TEMBA SAFARIS, or while under its control or custody. 2. I hereby acknowledge that I am aware of the fact that there are dangerous animals, reptiles, insects and plants in game parks and on farms, and that the handling of firearms can be dangerous. 3. Minor visit to any reserve or farm and/or the minor’s participation in Trophy Hunting and/or Wing Shooting, are entirely at his/her own free will and I accept all liability and risk on his/her behalf. 4. I agree to abide by the decision of my Professional Hunter to take down with his rifle any trophy that I have shot at, as well as any animal not shot at; if in his discretion this animal holds a threat to human life, or needs to be put out of its misery. 5. I hereby confirm that minor is adequately covered by an existing insurance policy for any loss or damage whatsoever nature caused directly or indirectly arising from his/her dealings with TEMBA SAFARIS. This indemnity is binding to the laws of the country of me, as well as the country of TEMBA SAFARIS. Statement of Understanding *I acknowledge that I have read, understand, and agree to the terms of indemnity as outlined in this document.Consent to Terms *I agree to abide by all the conditions and accept all responsibility for actions taken during my participation.Signed AtPlace *Date Signed *Participant (Client) * Clear Signature Participant (Observer) * Clear Signature Witness * Clear Signature Submit