Indemnity

Whereas Roelof Fourie Safaris conducts, hunting safaris, which embrace, inter alia, air travel, vehicular travel and the hunting of wild and dangerous game on land owned by various landowners.

AND WHERE I, THE UNDERSIGNED,

Name(printed):.................................................................................................................................

Address:...........................................................................................................................................
........................................................................................................................................................
........................................................................................................................................................

Have agreed with Roelof Fourie Safaris to go on a safari from

...........................................................................to........................................................................................

And whereas I fully realize that a grave risk exists of my becoming sick or being injured or killed or of any of my property being damaged or destroyed, before, during or after such safari as a result of inter alia, the use of fire-arms. motor vehicles, aircraft or any other equipment of any nature whatsoever, the hunting of wild and dangerous animals, camping in low lying bushveld areas, the food I may eat or the liquids I may drink or being bitten by snakes, scorpions, ticks or any other dangerous or poisonous animal or insect whatsoever, or that I may be affected by poisonous plants or trees, or as a result of lack of care or skill or the negligence of Roelof Fourie Safaris, its agents, employees, servants and/or the land owners from whom hunting rights are purchased or leased as also their agents, employees and servants.

And whereas notwithstanding the knowledge and the appreciation of the risk and dangers involved, I am still desirous or going on the said safari and am prepared to waive all claims of any nature whatsoever.

NOW THEREFORE
1. I hereby waive any claims of any nature whatsoever against Roelof Fourie Safaris, its agents,     employees,servants and/or the landowners on whose land hunting takes place as also their agents, employees and     servants (hereafter collectively referred as "the company") arising before, during or after such safari from any cause     whatsoever.

2. I hereby indemnify and hold harmless the company against all loss or damage of any nature whatsoever from any     cause and against any claims of any nature whatsoever from any cause arising which may instituted the company for     the recovery of any damage or loss whatsoever.

3. I hereby waive any claims of any nature whatsoever which any dependant child or family member may have against     the company and I warrant by my signature that I have full authority to waive on behalf of and to represent all the     members of my family and/or dependants who may have a claim against the company.


4. Any dispute, difference of questions which may arise at any time hereafter, between Roelof Fourie Safaris, its     agents, employees, servants and/or landowners on whose land hunting takes place, touching the true construction     liabilities of the parties hereto shall, be referred to the decision of three arbitrators to be appointed by the     Professional Hunters Association of South Africa.


5. This agreement shall be construed in all respects in accordance with the law of the law of the Republic of South     Africa and for these purposes the parties hereby submits itself to the jurisdiction of the courts of the Republic of     South Africa.


THUS DONE AND SIGNED AT (In South Africa)...............................................THIS ......................................
DAY OF ............................. 201....

CLIENT:
.............................................................................


DEPENDANTS:
1. ..............................................................................(NAMES)
2. ..............................................................................(NAMES)
3. ..............................................................................(NAMES)

AS WITNESSES:
1. ..............................................................................
2. ..............................................................................