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Indemnity Form

I, the registered runner hereby confirm, agree, consent, and undertake in favour of Duduza Care Centre (“service provider”) that:

  • the service provider offers, conducts, and/or performs services for the provision of Fun Run / Walk (“the activities”). I agree to accept the service provider’s services, and I agree to participate in the activities on the basis and in terms of this Indemnity Form, which acceptance and consent I give voluntarily and in full understanding of the contents hereof;
  • my acceptance of the service provider’s services and my participation in the activities is entirely at my own risk. The service provider and his/her/its owners, employees and/or contractors accept no responsibility, and will not be liable for any theft, loss, or damage to any property, or for any injury, illness or death arising of whatsoever nature, regardless of the cause of such loss, damage, injury, illness or death. I agree that I will not, and I undertake not to hold the service provider or his/her/its owners, employees and/or contractors liable for or make any claim against them for any damages, loss or expenses arising from any such loss, damage, injury, illness or death;
  • I hereby indemnify, hold harmless and absolve the service provider and his/her/its owners, employees and/or contractors from all and any claims of whatever nature that may arise for whatsoever reason including as a direct or indirect result of my participation in the activities and/or acceptance of services from the service provider;
  • I hereby indemnify the service provider against all and any costs, legal fees and expenses of whatever nature that the service provider may incur as a direct or indirect result of my participation in the activities, and including as a result of service provider’s enforcement of this Indemnity;
  • I warrant and represent that I am medically fit, both physically and mentally, to engage in the activities and accept the services from the service provider;
  • Should I, for whatever reason, be in need of emergency medical treatment, I hereby consent to such treatment being administered to me, and I agree that I will be personally liable for any medical costs that may arise;
  • this confirmation, indemnity and consent will apply in respect of my participation in all and any activities and/or my acceptance of services from the service provider, whether presently or in the future, which confirmation, indemnity and consent will endure indefinitely;
  • my consent and indemnity in this Indemnity Form will be enforceable and binding upon my heirs, executors, administrators and estate;
  • I agree that if any provision of this indemnity form, or any part thereof, is found to be unenforceable or non-compliant with any legal requirement, such provision will be adjusted to achieve the intent to the extent permitted by law. If this is not possible, the provision will be deleted, and all other provisions in this Indemnity Form will remain enforceable.