Indemnity

Experience Reference Number *
Title (Participant) *
Full Name (Participant) *
Preferred Name (Participant) *
email (Participant) *
Contact No (Participant) *
Physical Address (Partic. Home)
Physical Address (Partic. Work) *
	1. INDEMNITY: I State that I understand that the context of this document will apply to all Events and Activities associated with the Christian Experiences and indemnifies any individual or organisation volunteering, supporting, providing among others, venues, services, personnel, technology, or performing any aspect of the Events, discussions, or any Activity or part thereof, related in any way, directly or indirectly with Christian Experiences (Pty) LTD. I also Accept responsibility and accountability for ensuring all below, acknowledging that headings are for convenience and one gender denotes all genders, or non-human entities. *
	2. PERSONAL RESPONSIBILITY: All persons, animals, objects, etc,. not specified under an indemnity form remain the responsibility of the person they are closest to in terms of relationship, and any act, whether intentional or negligent perpetrated, or caused by such is not the responsibility of Christian Experiences (Pty) LTD. A schedule of all under the control and responsibility of Christian Experiences (Pty) LTD will be provided. *
	3. LIMITED PARTICIPATION Participation is always voluntary, and it is important that any limitations that Christian Experiences (Pty) LTD must be aware of are captured on the Indemnity Form. *
	4. BREACH OF TERMS AND CONDITIONS: The Terms and Conditions accompany your booking confirmation, and to the extent there are any aspects breached by the person attending, this further indemnifies Christian Experiences (Pty) LTD, as it is a breach of agreement. *
	5. PREPARATION: I undertake to prepare myself, and assist my son/daughter to prepare for the Event and the Activities. *
	6. INCLUSION OR EXCLUSION: I understand that the decisions of the Event Authorities will be final with regard to Event Arrangements, including inclusion, exclusion of individuals in Events or Activities *
	7. LOSS, DAMAGE, INJURY, OR DEATH: I am aware that the Event Authorities, including Christian Experiences (Pty) LTD, and all related in any way to it, do not accept responsibility for loss or damage, injury, or death of any kind to myself, or my child, or his/her effect whilst and during any Event or Activity, or between such Events or Activities. I also understand that the Camp Authorities cannot compensate me or my son/daughter or my family for any such loss or damage, injury, or death. *
	8. DISCIPLINE AND REMOVAL: I accept the need for discipline and undertake to discuss the matter of discipline with my son/daughter and how they need to adhere to the rules as laid down by the Event and Activity Management from time to time. I accept that Christian Experiences Management retains the right to have anyone removed from any Activity, Event, venue or any place, including online communication mechanisms, media, or previously publicly available content. I agree that I will ensure collection of any who is deemed by Event Management to be disruptive or a threat, to themselves or others. *
	9. SUBSTANCES NOT ALLOWED: I agree that, without this being an exhaustive list, no alcohol, drugs, weed, nor hallucinogenic, psychotic episode inducing, or any illegal substance is allowed to be kept, shared, given, sold, or used before, during or after any Christian Experience Event, Activity, or any other part of any of what Christian Experience (Pty) LTD supports. These are also not permitted on any venue used for any Event, Activity, etc. The Authorities will be called in and such will be confiscated, and for illegal substances, criminal charges will be pressed. *
	10. NO DANGEROUS ITEMS ARE PERMITTED. I Understand that no weapons, including, but not limited to, bullets, firearms, explosives, fireworks, sharp edges (including knives), martial arts equipment, bows, arrows, or where the disposition of the person having it is violent in behaviour, speech, or actions, anything dangerous. These will be confiscated, and where there is suspicion, handed over to the police for further processing. *
	11. MEDICATION AND INFORMATION RELATING TO CARE: I have advised in this form, in the section below, of any specific information and medication that my self or my son/daughter may require and have provided details of any other information which may be pertinent to obtain the functioning of “in loco parentis” by those engaging or in any way related to the Event or Activity to consider. (Situations permitting, attempts will first be made to reach contacts provided on this form.) *
Medical Information *
Emergency Contact Name *
Emergency Contact Number *
Emergency Contact email *
	12. PROVIDE MINORS WITH SUPPORT: Agree that all minors brought to or participating in any Activity will have their parent or legal guardian's consent, and such person will ensure that minors are supported through the Event by someone they know, and that they will be accompanied by such a person at all times. Any rules regarding collection of minors must be agreed in writing before they join the Event. *
Parent/Guardian Name *
Parent/Guardian Contact Number *
Parent/Guardian (email) *
Minor Support Contact Name *
Minor Support Contact Number *
Minor Support email *
Additional Information *
	ACCEPTANCE: I confirm that I, and if this relates to a minor, the Parent or Legal Guardian, have read the associated documentation and state that I and they have understood the contents and agree to consent to the requirements as indicated. *
	I AGREE: By Submitting this Indemnity Form, I agree that I and (any minor, parent or guardian mentioned) understand the requirements and expectations and agree that they are reasonable and we assert that the information I have provided is accurate and true, and that all named are aware of the Terms and Conditions as well as the contents of this Indemnity form, and that they need to be contactable if necessary. *
	LEGAL RESOLUTION: We agree to bring all matters before an agreed set of 7 independant Christians for Arbitration, outcomes will be based on the Old King James Bible 1611 (and the words in italics will be excluded). Should this fail to bring satisfaction, the Legal Jurisdiction in which all physical matters can be finally decided is Ranburg, Gauteng, South Africa. Christian Experiences (Pty) LTD (2025/957636/07) Registered Address is 38 Bramblewood, 2 Hardekool Street, Sundowner, 2161, Randburg, Gauteng, South Africa *

Christian Experiences