THE ADOPT MORELETASPRUIT FORUM INVITES YOU TO A

GUIDED HIKE ALONG THE MORELETASPRUIT

ON 16 MAY 2015
ENTRY FORM
(To be completed by all participants of the walk and returned before 12
May 2015*)

Name and surname:

Physical address:

Telephone number:
Cell phone number:
Cell phone number and name of relative/friend:....

E-mail address:
I can / cannot park my car at the Murrayfield tennis courts and will have
space for
people for transport back to Moreleta Kloof (starting point).

INDEMNITY: By my signature below I

(full name and surname)

agree that I or the dependant under my supervision will participate in the
above activity at own risk.
I indemnify the organisers of the walk from any claim whatsoever, may it
arise in connection to any injury, loss or damage to myself (or my
son/daughter/dependant) or my property (or that of my
son/daughter/dependant) during the walk and transport, irrespective of the
nature or cause of such damage or injury.
I understand that costs in respect of any accident are my own liability.

.
Signature (parents or guardian to sign for under-age children)

date

*Email to Louise at admin@fgnr.co.za