{{company_name}}
{{company_address}}
Phone: {{phone}} | Email: {{email}} | Web: {{website}}
General Liability Waiver Form
General Liability Waiver Form
{{company_name}} {{company_address}} Phone: {{company_phone}} Email: {{company_email}} Website: {{company_website}}
GENERAL LIABILITY WAIVER FORM
I, the undersigned, {{participant_full_name}}, residing at {{participant_address}}, born on {{participant_dob}}, and holding identification number {{participant_id_number}}, hereinafter referred to as 'the Participant', hereby acknowledge and agree to the terms and conditions set forth in this General Liability Waiver Form ('Waiver').
Assumption of Risk
I understand and acknowledge that participation in the activity/event described as {{activity_description}} (hereinafter referred to as 'the Activity') organized by {{organisation_name}} (hereinafter referred to as 'the Organization') involves inherent risks, dangers, and hazards that may result in injury, illness, disability, death, or property damage. These risks include, but are not limited to: {{list_of_risks_examples}}. I voluntarily accept and assume all risks associated with my participation in the Activity, both foreseen and unforeseen, even if arising from the negligence of the Organization or others.
Waiver and Release of Liability
In consideration of being permitted to participate in the Activity, I, for myself, my heirs, executors, administrators, personal representatives, and assigns, hereby waive, release, and forever discharge the Organization, its officers, directors, employees, agents, volunteers, and representatives (collectively, 'the Released Parties') from any and all claims, demands, actions, causes of action, losses, liabilities, costs, and expenses (including legal fees) of any nature whatsoever, whether known or unknown, foreseen or unforeseen, arising out of or in connection with my participation in the Activity, including but not limited to, any injury, illness, disability, death, or property damage that I may suffer as a result of such participation. This waiver and release extends to claims arising from the negligence of the Released Parties, to the fullest extent permitted by law.
Indemnification
I agree to indemnify, defend, and hold harmless the Released Parties from and against any and all claims, demands, actions, causes of action, losses, liabilities, costs, and expenses (including legal fees and costs of investigation) arising out of or in connection with my participation in the Activity, including, but not limited to, any acts or omissions by me that cause injury, illness, disability, death, or property damage to myself or others.
Medical Treatment
I authorize the Organization to obtain appropriate medical attention for me in the event of an accident, injury, or illness during the Activity, at my own expense. I understand that the Organization does not assume any responsibility for medical expenses incurred as a result of my participation in the Activity.
Governing Law and Jurisdiction
This Waiver shall be governed by and construed in accordance with the laws of South Africa. Any dispute arising out of or in connection with this Waiver shall be subject to the exclusive jurisdiction of the courts of South Africa.
Severability
If any provision of this Waiver is found to be invalid, illegal, or unenforceable, the validity, legality, and enforceability of the remaining provisions shall not in any way be affected or impaired thereby.
Acknowledgement
I confirm that I have read this Waiver carefully, understand its contents, and voluntarily agree to its terms. I acknowledge that I have had the opportunity to seek independent legal advice before signing this document. I am aware that by signing this Waiver, I am giving up substantial legal rights, including the right to sue the Organization for negligence.
Signature
_____________________________
Participant's Full Name: {{participant_full_name}}
Signature: _______________________
Date: {{signature_date}}
_____________________________
Witness's Full Name: {{witness_full_name}}
Signature: _______________________
Date: {{witness_date}}
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