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I, the undersigned, the Applicant's Guardian, being the parent or lawful guardian
of Applicant, a minor (hereinafter referred to as the Applicant) hereby consent to
the Applicant becoming a member of the Western Province Sport Parachute Club
trading as Skydive Ceres (hereinafter referred to as the Club) for the period of
this type of membership. I acknowledge that my consent as granted above:
a) Constitutes a consent for the Applicant to take part in all or any of the
activities of the Club including without limitation, a first jump course,
accelerated freefall course, a static-line parachute jump, and any further
parachuting and/or skydiving activities or ancillary related activities presented
by or in conjunction with the Club.
b) Shall endure for the full duration of the Applicants membership of the Club
whether continues or interrupted.
d) Is given with the full knowledge that certain details relating to the Applicants
health may increase or affect the risk attached to the activities of the Club
and I undertake that I shall ensure that any query which I may have in this
regard is brought to the attention of the Safety Officer of the Club in writing.
e) Is given with the full knowledge that the activities of the Club inherently
contain certain risks relating to or ancillary to the sport of parachuting and/or
skydiving.
g) Warrants and undertakes in favour of the Club that the Applicant partakes in
the activities of the Club voluntarily and with full knowledge of the risks
associated with parachuting and/or skydiving and accordingly the Club shall
not be liable for any claims for damage relating to the involvement of the
Applicant in the Clubs activities, howsoever or from whatsoever cause arising
whether caused by the negligent action or inaction of any of the Clubs
members or officers or agents or otherwise.
In the interpretation of this consent form, the invalidity of any one provision or
part thereof shall not affect the validity of the remainder of this consent. No
warranty or representation not reduced to writing and/or reflected herein shall
be binding on the Club.
Place Signed :
Date Signed :
Signature of Witness :