Bmw South Africa Indemnity Form

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INDEMNITY FORM – CHILDREN’S PLANT VISITS
In favour of BMW (SOUTH AFRICA) (Pty) Ltd (“BMW”)
WHEREAS I, the undersigned, ________________________________________________________, parent and/or
legal guardian of the minor child _____________________________________________, hereby agree that my child
attends a plant visit at BMW (the “Event”) at _________________________
on ____________________________ from _______________________________ to ______________.
NOW THEREFORE:
1.
I confirm that my child’s participation in the Event and the related activities is entirely voluntary and I accept all risks
involved therein. Accordingly, BMW and/or any BMW employee shall not be liable for any loss, damage, injury or illness
of whatsoever nature and howsoever caused, suffered by me (to my person or property) or my child as a result, directly
or indirectly, of attending the Event and/or participating in the activities and BMW and/or any BMW employee shall not
be liable for any loss and/or damage (including indirect or consequential loss and/or damage) arising therefrom.
2.
I hereby indemnify and hold BMW and/or any BMW employee harmless against all liabilities, claims, losses and
damages of whatsoever nature which BMW and/or any BMW employee and/or any other person may sustain as a result,
directly or indirectly, of having made the activities available to my child and/or of my child attending the Event and/or
participating in the activities, where such claims, losses and damages are caused by me or my child’s negligent or wilful
act or omission.
SIGNED AT ……………………… on this ………..……. day of ………………………….………200 .
SIGNATURE ………………………………………………………………….. *
(*Parent or Legal Guardian)
PLEASE PRINT PARENT / LEGAL GUARDIAN DETAILS CLEARLY:
Dr/Mr./Mrs./Ms:
…………………………………………………………………………………….
Identity No:
…………………………………………………………………………………….
Postal Address:
..……………………………………………………………………………………
………………………………………………….…………….
Code: …………………………………….
Physical Address:
……………………………………………………………………………………
…………………………………………………………………………………………………………………..
Telephone No (H)
…………………………………………………………………………………….
(W)
…………………………………………………………………………………….
(Cell)
…………………………………………………………………………………….
E-mail:
…………………………………………………………………………………….

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