INDEMNITY FORM - The Little Optimist Sailing Academy

Indemnity form

I, *

First

Last

(full name and surname)

Parent/Guardian of, *

First

Last

(full name and surname)

Date of Birth *

agree that my child may take part in the Sailing Activity(“Activity”) facilitated by The Little Optimist Trust (“LOT”) at The V&A Waterfront (“V&A”). This Activity is being facilitated by LOT. By signing this indemnity form, I agree that The Little Optimist Trust, The V&A Waterfront, and/or any of their respective partners, employees and volunteers, shall not be liable for any loss, damage, injury or illness of whatsoever nature and howsoever caused, suffered by my child as a result, directly or indirectly, of attending and/or participating in these activities and accordingly I shall keep LOT and or any of their partners, directors, employees, agents or volunteers indemnified and shall hold them harmless against all claims for injury, loss or damage, from any cause howsoever arising suffered by me, arising from or incidental to the participation in the activities facilitated by LOT and hosted at V&A. I agree that the above-mentioned child will abide by the rules of conduct instituted by LOT. I confirm that the child’s participation in the planned activities is entirely voluntary and I understand and accept all risks associated therewith. I furthermore hereby give permission to LOT to use any photographs or images of my child, that are taken by LOT employees as a result of their attendance at the activity, stipulating that the photographs or images may only be used for furthering the work of the organisation, and provided that they do not infringe the ordinary rights of the child. I accordingly waive and abandon any right to claim compensation from LOT for the use of any photographs and hereby indemnify and hold harmless against LOT from any such claims.

Does your child have any specific/chronic medical conditions? If so please describe them:

Identity Number of Guardian/ Parent *

Telephone Number of Guardian/ Parent *

By ticking this box, you (Parent/Guardian) confirm that this action serves as your signature.

Additionally, by ticking this box, you agree that the information provided is accurate and complete to the best of your knowledge, and you acknowledge that any false or misleading information may result in consequences as outlined in the terms and conditions.