INDEMNITY FORM Indemnity Please note that all Participants are required to agree to the following statements.Please tick the box to confirm your acceptance of the following clause* I hereby indemnify Shikwaru lodge and its employees/ owners against any claim of loss, damage, injury or death which I may sustain or may in the future sustain, arising from any occurrence of whatsoever nature or kind and however arising or occurring in the course of our stay at Shikwaru Game Lodge or during the any activity at the Lodge or being transported in any of the vehicles. This agreement constitutes the whole agreement between the parties and no representations or warranties have been made or given (except as is specified herein). No variations, additions, waivers, alterations, modifications or cancellations shall be binding upon the parties unless in writing and signed by all parties. Please tick the box to confirm your acceptance of the following clause* I hereby Release, Waive and Covenant Not to Sue, and further agree to Indemnify, Defend and Hold Harmless the following parties who are associated with Global Children’s Forum, including, but not limited to: Logosdor Inc, Logosdor Ltd, Scripture Union International, Scripture Union Queensland, Grain of Wheat, Bethel University, Kidzana; the Event Organizers and Promoters, the Host Organizations and Facilities, Venue and Property Owners or Operators upon which any Events take place; and each of their respective parent, subsidiary and affiliated companies, officers, directors, partners, shareholders, members, agents, employees and volunteers (Individually and Collectively, the “Released Parties” or “Organisers”), with respect to any liability, claim(s), demand(s), cause(s) of action, damage(s), loss or expense (including court costs and reasonable attorneys fees) of any kind or nature (“Liability”) which may arise out of, result from, or relate in any way to my participation in the Course, including claims for Liability caused in whole or in part by the negligent acts or omissions of the Released Parties. Please tick the box to confirm your acceptance of the following clause* I further agree that if, despite this Agreement, I, or anyone on my behalf, makes a claim for Liability against any of the Released Parties, I will indemnify, defend and hold harmless each of the Released Parties from any such Liabilities which any may be incurred as the result of such claim. Please tick the box to confirm your acceptance of the following clause* I confirm that as part of my attendance at this conference I have obtained travel insurance and have adequate health insurance to a level sufficient to cover any illness, injury or medical expenses sustained by me while in transit to or from or while at Shikwaru Lodge and/or participating in any activities associated with the Course. Please tick the box to confirm your acceptance of the following clause* I understand and confirm that by signing this Release and Waiver, I have given up considerable future legal rights. My acknowledgement of these waivers and indemnities is proof of my intention to execute a complete and unconditional Release and Waiver of all liability for myself to the full extent of the law. Please ensure that you email a copy of your insurance certificates to [email protected] prior to your travel to the residential component of the course at Shikwaru LodgeYour name (Participant)*Date* PhoneThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.