Fillable Parent Consent Indemnity Form Events February 2022 V1.4 (South Africa Office of the Chief Justice)

Fill Online, Printable, Fillable, Blank Parent Consent Indemnity Form Events February 2022 V1.4 (South Africa Office of the Chief Justice) Form

Use Fill to complete blank online SOUTH AFRICA OFFICE OF THE CHIEF JUSTICE pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Parent Consent Indemnity Form Events February 2022 V1.4 (South Africa Office of the Chief Justice)

On average this form takes 13 minutes to complete

The Parent Consent Indemnity Form Events February 2022 V1.4 (South Africa Office of the Chief Justice) form is 2 pages long and contains:

  • 2 signatures
  • 0 check-boxes
  • 43 other fields

Country of origin: SOUTH-AFRICA
File type: PDF

Use our library of forms to quickly fill and sign your South Africa Office of the Chief Justice forms online.

BROWSE SOUTH AFRICA OFFICE OF THE CHIEF JUSTICE FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Parent Consent and
Indemnity Form
Events & Activities
E-mail: info@scouts.org.za Website: www.scouts.org.za Tel: 0860 SCOUTS
Parent Consent February 2022 v1.4 Page 1 of 2
To the Regional Commissioner, Scouter:
I, (Full names of Parent / Legal Guardian)
of (Address)
Postal Code:
Home Telephone:
Cell Number:
being the Parent / Legal Guardian of:
Child’s full name:
(hereinafter referred to as ‘Ward’)
a member of the
Group
hereby permit him / her to partake in the activity/camp referred to below
Camp/Activity:
Start Date:
D
D
M
M
Y
Y
Y
Y
End Date:
D
D
M
M
Y
Y
Y
Y
Location/Venue:
I hereby appoint and authorise the Scouter, Chairman or Commissioner in charge to act in my place as
parent/guardian with full authority to consent to my Ward undergoing surgical and/or medical treatment. I
undertake to pay the costs of such treatment.
I hereby DO DO NOT give permission for my Ward to participate in any water activities. I fully understand
and accept that all activities are undertaken at my Wards own risk.
I am aware that neither SCOUTS South Africa, nor its Chairman, Commissioners, Scouters, Agents, Employees,
Volunteers or any person associated with SCOUTS South Africa accept responsibility for any loss, injury or damage
that the person or property of my Ward may sustain whilst engaged in any Scouting, including inter-alia transport
to and from the activity.
I hereby waive any right that I may have in future, to claim compensation against SCOUTS South Africa or its
Chairman, Commissioners, Scouters, Agents, Employees, Volunteers or other members, in respect of any loss,
injury or damage incurred whilst engaged in any Scouting activity howsoever arising and whether as a result of
negligence or otherwise and I indemnify SCOUTS South Africa against all such claims.
I agree and authorize that photos, statements, audio visual recordings, video and sound bites taken, recorded and
collected from my Ward during activities with SCOUTS South Africa may be used free of charge and at the
discretion of SCOUTS South Africa as part of their marketing, communication and fundraising campaigns.
Signature Mother/Father/Legal Guardian:
Signature Witness:
Date:
D
D
M
M
Y
Y
Y
Y
Date:
D
D
M
M
Y
Y
Y
Y
Medical Aid / Family Doctor Details:
Name of Doctor:
Tel No:
Preferred Hospital:
Medical Aid Scheme:
Medical Aid Number:
Principal Member:
click to sign
signature
click to edit
click to sign
signature
click to edit
Parent Consent and
Indemnity Form
Events & Activities
E-mail: info@scouts.org.za Website: www.scouts.org.za Tel: 0860 SCOUTS
Parent Consent February 2022 v1.4 Page 2 of 2
In the case of an emergency it is vital that the Scouter and/or person in Charge has as much personal
information as possible. It is to your own benefit to fill this in completely and accurately!
Details of Youth Member:
Full Names:
ID Number:
Date of Birth:
D
D
M
M
Y
Y
Y
Y
Age:
Allergies:
Medication (specific times/dosage/etc):
Previous medical conditions or any other medical conditions you feel are of relevance:
Physical Disabilities:
Special Dietary Requirements:
Infectious Diseases:
Parent/Guardian Contact Details:
Parent/Guardian Name:
Contact First:
Contact Numbers:
Home:
Work:
Cell:
Parent/Guardian Name:
Contact First:
Contact Numbers:
Home:
Work:
Cell:
Alternate Contact:
Name:
Cell:
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Parent Consent Indemnity Form Events February 2022 V1.4 (South Africa Office of the Chief Justice)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 4 May 2022

Message

View Audit Log
Print With Audit Log
Duplicate Document