CSIR Sports and Recreation: Facilities Indemnities

Facilities Indemnities

Please read the indemnity declaration carefully, complete the event details, and sign below.

Asterisk (*) indicates a required field. This indemnity applies to you and any minor children in your care during the event.

Indemnity Disclaimer Form

1. Event Details

Specify the event you are attending at the CSIR Sports and Recreation facility.


2. Indemnity Declaration

Please read the full declaration below before agreeing.

I do hereby, on behalf of myself and/or my dependants/executor, acknowledge and declare that:

I am entering the CSIR Sports and Recreational site situated at the premises of the CSIR, Meiring Naudé Road, Brummeria, Pretoria and will attend the CSIR Sports and Recreation
club event at my own risk and on the express condition that neither the CSIR nor any of its officers/employees, shall be liable to me or my dependants/executor for any damages arising
out of loss of life or bodily injury suffered by me or for any loss of or damage to my property or estate, arising out of any accident or cause that may occur during my visit to the
premises, whether or not such accident or cause arises out of negligence, failure, incompetence or any other act whatsoever on the part of the CSIR or any of its officers/employees. On
behalf of myself, my executor and dependants, I do hereby indemnify, hold harmless and absolve the CSIR, its officers and employees against any damage whatsoever and any legal
expenses or costs that may arise out of my stay at or visit to the premises.

Insofar as I will be accompanied by minor children, I, in my capacity as an official and temporary guardian, confirm that the aforesaid indemnity shall equally apply to any damages
arising out of loss of life or bodily injury suffered by him/her/them, as well as any loss of or damage to such child/ren's property or estate, arising out of any accident or cause that may
occur during his/her/their visit to the premises.


3. Signature

Thus accepted and signed at the location and date specified below.

Signed at (Location)
✍️   Print and sign, or attach an electronic signature