Hunting Outfitter

Johan Pretorius

-Hunting Outfitter-

Phone: +27832261690

Fax : 0865429481

E-mail :

Website :

Reservation Sheet

Personal Details:

Surname: ______First Name(s)______

Address:______

Tel No: ______E-mail: ______

Passport #______

Contact Numbers:

Next of Kin:

Name: ______Tel No: ______

Adress:______

E-mail: ______

Safari Dates and Info

Number of days: ______

Dates from: ______Dates to: ______

Trophy Wishlist: ______

______

______

______

Calibre: ______Ammunition: ______

Flight Itinerary

Arrival date: ______Airline flight and no: ______

Arrival time: ______

Departure date: ______Airline flight and no: ______

Departure time: ______

Food and Drink preferences

Food preferences: ______

Food dislikes: ______

Diabetic: Yes: ______No: ______Specify: ______

______

Beverages preferences: Spirits: ______

Wine: ______Beer: ______

Juices and Softdrinks: ______

Illnesses

Allergies to animals and antibiotics: ______

Chronicle Illnesses: ______Explain please: ______

______

Blood type: ______

Shirt size ______

Shirt size ______

INDEMNITY

I, the undersigned, ______

1. Acknowledge the Ibamba Safaris, the respective members of the company and their Respective agents, employees, families, lessees and invitees from time to time, all of whom shall be deemed to have accepted the benefits conferred on them hereunder and are hereinafter referred to as the "Owners" shall not in any circumstances whatsoever be held liable or responsible for any loss, claim, cost or expense, which I may suffer or incur of whatsoever nature and howsoever arising from the presence of myself, or any of the dependants, or any of my property at Ibamba Safaris or any property adjacent thereto, including in particular, but without limiting the generality of the afore going, any personal injured of damage or loss of property, which I or my dependants may sustain while being conveyed to or from or while at Ibamba Safaris from whatsoever cause and howsoever arising including, without limiting the afore going, my loss or damage arising from terrorist activity, State's enemies, or through the negligence or gross negligence of the Owners or through any act of God.

2. I hereby indemnify the Owners and hold each of them harmless from all the loss, injury, damage, fires, penalties, claims, cost, expenses and liabilities of whatsoever nature and howsoever arising from the presence of myself, or any of my dependants, or any of my dependants, or any of my or their property at Ibamba Safaris or any property adjacent there to, including, in particular, and damage, loss, or personal injury, referred to in paragraph I hereof.

3. I appreciate the nature of the risk associated with my visit to and activities at Ibamba Safaris and in particular the risks associated with hunting and being in the vicinity of animals and reptiles, and I hereby confirm that I have voluntarily elected to assume such risks.

4. I agree and acknowledge that all the terms hereof shall be binding, fully and effectively, upon my deceased estate in all respects.

5. I agree that all the provisions hereof shall be construed and take affect in all respects in accordance with the laws of the Republic of South Africa.

SIGNATURE______DATE______