I, ____________________________ [Participant’s full name in Capital letters], hereby acknowledge and declare that I have chosen to participate voluntarily in the adventure activity organized by BornFreeTreks. I understand that adventure activities involve inherent risks, including but not limited to the risk of injury, illness, or death, as well as damage or loss of personal property. I am aware that the activity may involve strenuous physical exertion, exposure to various weather conditions, difficult terrain, and other unpredictable situations.
In consideration of being allowed to participate in the activity, I hereby agree to the following:
Acknowledgment of Risks:
I acknowledge that I have been informed of the nature and extent of the risks associated with the activity, including the potential for serious injury, illness, or death. I understand that it is my responsibility to assess my physical fitness and ability to participate in the activity. I affirm that I am in good health and do not have any known medical conditions or physical limitations that could be aggravated by the activity.Adherence to Guidelines:
I agree to comply with all instructions provided by the activity organizers and guides or instructors, including safety guidelines, equipment usage, and behavioral guidelines.Itinerary Changes:
I acknowledge that BornFreeTreks may need to make changes to the planned itinerary, shorten, or cancel the tour due to unforeseen circumstances beyond their control. Such circumstances include, but are not limited to, inclement weather, administrative or court orders, riots, political unrest, epidemic or pandemic, and natural or manmade disasters. In the event of changes or cancellations, I acknowledge that BornFreeTreks will not be liable for any refunds or additional expenses incurred.Non-Refundable Policy:
I understand that if I need to leave the tour early for any reason, I am not entitled to a refund, and BornFreeTreks and its vendors or partners will not be liable for any expenses incurred as a result of my early departure, and thus will be borne by me.Assumption of Risk:
I assume all risks associated with the activity and hereby release and discharge BornFreeTreks, its legal entity, employees or freelance staff, vendors, or partners from any and all liability, claims, demands, actions, or causes of action arising out of or related to any loss, damage, injury, illness, or death that may occur during or as a result of my participation in the activity.Indemnification:
I agree to indemnify and hold harmless BornFreeTreks, its legal entity, employees including guides, freelance staff, vendors or partners, and their representatives from any and all claims, actions, suits, or demands, including legal fees and expenses, arising out of or related to any third-party claims resulting from my participation in the activity.Consent to Medical Treatment:
In the event of an emergency, I consent to receive medical treatment deemed necessary by medical personnel. I understand that I am responsible for any medical expenses incurred.Photography and Media Release:
I grant BornFreeTreks the right to use photographs or videos taken during the trek for promotional purposes, including but not limited to social media, websites, and marketing materials.
Participant Information:
- Full Name: ___________________________
- Date of Birth: ___________________________
- Address: ___________________________
- Contact Number: ___________________________
- Email Address: ___________________________
Emergency Contact:
- Name: ___________________________
- Contact Number: ___________________________
Medical Information:
- Do you have any pre-existing medical conditions? Yes / No
- If yes, please specify: ___________________________
- Are you currently on any medication? Yes / No
- If yes, please specify: ___________________________
- Do you have any allergies? Yes / No
- If yes, please specify: ___________________________
- Do you have any physical disabilities or limitations? Yes / No
- If yes, please specify: ___________________________
I have read this Indemnity cum Declaration form carefully and understand its contents. I am signing this document voluntarily, fully aware of its legal consequences.
Signature of Participant: ___________________________
Date: ___________________________
Signature of Parent/Guardian (if participant is under 18): ___________________________
Date: ___________________________