Please Note: This original document must be completed and returned to our postal address / e-mail as soon as possible in order for us to prepare for your Safari.
PERSONAL DETAILS ( NB: Please email us a copy of your passport )
Passport Number (required)
First Name (required)
Home Address (required)
Business Address (required)
Mobile Number (required)
Tel Home (required)
Tel Business (required)
CONTACT NUMBERS IN CASE OF EMERGENCY
Person to notify in case of an emergency (required)
Work Phone Number (required)
Fax Number (required)
PLEASE PROVIDE DETAILS OF YOUR ITINERARY
Arrival Date (required)
Arrival Time (required)
Airline and flight no (required)
Departure Date (required)
Departure Time (required)
Special medical conditions (required)
Current medication you may be taking (required)
Medical aid insurance supplier (required)
Medical Account no (required)
Blood Type (required)
Are you diabetic (required)
I, the undersigned, do hereby indemnify the members and staff of, Take Aim Safaris, and any of it’s associate companies, organizations, persons acting for, or on it’s behalf, against any loss or damage, whether it is caused directly or indirectly by delays, sickness, injury, death or loss of damage to property, whether occurred by negligence or not, or any expenses arising there from, which I may suffer while with Take Aim Safaris or while under it’s control or custody.
I agree to abide to the decision of my Professional Hunter to take down any trophy with his rifle, if in his discretion; this animal holds and represents a threat to human life or wounded needs to be put out of it’s misery. I agree to pay all costs in full, that are incurred, before termination of the hunt, which may arise from my Professional Hunter taking down these wounded or life threatening animals. I also agree that photographs taken during the Safari may be used for promotion and / or publicity purposes by Take Aim Safaris.
(I agree that any dispute, of whatever nature, that may arise from my involvement / association with Take Aim Safaris will be adjudicated in terms of the laws of the Republic of South Africa. I specifically submit to the jurisdiction of the Magistrates Court within the specific provinces in which I have hunted, for any nature of claim. I also agree that Take Aim Safaris may however institute any proceedings in a competent High Court in South Africa).
Please Note: We do require a copy of the picture page of your passport and is necessary for South African documentation.
Please click here if you agree with the above Terms and Conditions (required)
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Your Name and Surname (required)
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