National Zoo And Aquarium Indemnity Form
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1NATIONAL ZOO AND AQUARIUM
NATIONAL ZOO AND AQUARIUM
School Visit
School Visit
Dear Parent/Guardian,
Dear Parent/Guardian,
Your child has been chosen to interactively participate during their school
Your child has been chosen to interactively participate during their school
visit to Canberra’s National Zoo & Aquarium. This participation could involve
visit to Canberra’s National Zoo & Aquarium. This participation could involve
stroking or holding a non-venomous snake, or handfeeding (through mesh) a
stroking or holding a non-venomous snake, or handfeeding (through mesh) a
large mammal such as a tiger or giraffe. These activities have been carried
large mammal such as a tiger or giraffe. These activities have been carried
out at the National Zoo & Aquarium without incident since its inception. For
out at the National Zoo & Aquarium without incident since its inception. For
your child to participate we need you to sign the following indemnity form
your child to participate we need you to sign the following indemnity form
and return it to your son/daughter’s teacher before they visit the NZA.
and return it to your son/daughter’s teacher before they visit the NZA.
Thank you
Thank you
Jane Bardwell
Jane Bardwell
Manager - Education Public Programmes
Manager - Education Public Programmes
Students Name______________________________________________
Students Name______________________________________________
School _____________________________________Year Group______
School _____________________________________Year Group______
Date of visit:_______________________
Date of visit:_______________________
1. Realising that every care will be exercised, I hereby indemnify The National Zoo &
1. Realising that every care will be exercised, I hereby indemnify The National Zoo &
Aquarium and its staff against all actions, suits, claims and demands (including costs) for
Aquarium and its staff against all actions, suits, claims and demands (including costs) for
personal injury or damage to, or loss of, personal property incurred as a result of my
personal injury or damage to, or loss of, personal property incurred as a result of my
child’s attendance at the Zoo.
child’s attendance at the Zoo.
2. In the case of accident or emergency, I give my permission for National Zoo & Aquarium
2. In the case of accident or emergency, I give my permission for National Zoo & Aquarium
staff to seek medical treatment by a medical practitioner, hospital or ambulance service.
staff to seek medical treatment by a medical practitioner, hospital or ambulance service.
I agree to bear any costs thereby incurred.
I agree to bear any costs thereby incurred.
The information I have provided on this form is true and correct.
The information I have provided on this form is true and correct.
Parent/Guardian Name………………………………………………………………..
Parent/Guardian Name………………………………………………………………..
Parent/Guardian Signature…………………………………………………………….
Parent/Guardian Signature…………………………………………………………….
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