Hoedspruit, South Africa
This form contains an indemnity, waiver of liability, assumption of risk, and medical authorisation. By signing it, you may be giving up certain rights to claim against Ngoma Bush Lodge. Please read it carefully before signing. The risks of a safari lodge and natural bush environment may include serious injury, illness, property loss, or death.
Nothing in this indemnity excludes or limits liability where such exclusion or limitation is not permitted by South African law, including liability arising from gross negligence, wilful misconduct, or any liability that may not lawfully be excluded under the Consumer Protection Act or other applicable law.
This document is intended for guests staying at Ngoma Bush Lodge and participating in lodge activities including game drives, bush walks, transfers, excursions, and wildlife experiences.
I / We acknowledge and understand that:
I / We hereby waive, abandon, and renounce any claim of whatsoever nature against:
NGOMA BUSH LODGE (PTY) LTD
(its owners, directors, employees, guides, staff members, contractors, agents, representatives, affiliated partners, and landowners)
for any injury, illness, loss or damage to property, emotional distress, delays or interruptions, or death arising directly or indirectly from accommodation, participation in any activity, transportation, game drives, bush walks, excursions, or use of lodge facilities — subject to the limitations of South African law as noted in the Important Legal Notice above.
I / We indemnify and hold harmless the Indemnified Parties against any claims, damages, costs, legal expenses, or liabilities brought by myself, family members, dependants, guests, minors under my supervision, or executors or representatives, to the extent permitted by South African law.
I / We agree to:
Failure to follow safety instructions may result in injury, removal from an activity, or removal from the property without refund.
Ngoma Bush Lodge strongly recommends that all guests arrange suitable travel insurance, medical insurance, evacuation cover, and cover for personal belongings, cancellation, delays, and third-party activities before arrival. Ngoma Bush Lodge does not provide any insurance cover on behalf of guests.
Guests remain responsible for their own personal belongings, valuables, cash, passports, cameras, phones, electronics, luggage, and documents. Ngoma Bush Lodge will take reasonable care but shall not be responsible for loss, theft, or damage unless caused by gross negligence or wilful misconduct. Guests are advised not to leave valuables unattended.
Ngoma Bush Lodge does not accept children under the age of 14. The signing adult accepts full responsibility for any minor aged 14 to 17 accompanying them and confirms that they are legally authorised to sign this indemnity on the minor's behalf.
I / We understand that certain activities or services may be provided by independent third-party operators, including but not limited to Big 5 safaris, transfers, excursions, tours, activities, or other services arranged on request.
Ngoma Bush Lodge may assist with bookings or arrangements, but such third-party operators remain independent service providers. I / We understand that their own terms, conditions, indemnities, and safety rules may apply directly between myself / ourselves and the third-party operator.
I / We consent to Ngoma Bush Lodge collecting and processing the personal information provided in this form, including identification details, contact details, booking details, emergency contact details, medical information, and signature.
This information will be used for guest registration, safety, emergency assistance, legal compliance, insurance purposes, lodge administration, and communication relating to my / our stay.
Ngoma Bush Lodge will take reasonable steps to protect this information and will not share it unnecessarily, except where required by law, emergency services, insurers, service providers, or third-party operators directly connected to my / our stay.
This agreement shall be governed in accordance with the laws of the Republic of South Africa. Any disputes arising from this agreement shall fall under the exclusive jurisdiction of the South African courts.
If any clause or part of this indemnity is found to be invalid, unlawful, or unenforceable, the remaining clauses shall remain valid and enforceable to the fullest extent permitted by law.
I / We confirm that:
SIGNATURE REQUIREMENT
Each adult guest must sign this indemnity personally. One adult may not sign on behalf of another adult unless legally authorised to do so.
Thank you for completing the Ngoma Bush Lodge indemnity form.
Your form has been submitted successfully.
A copy has been sent to:
and to your email address for your records.
We look forward to welcoming you to Ngoma Bush Lodge.
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