STEAM ON

indemnity form
This form is to be completed by every team member.

PARTICIPANT’S DETAILS
SURNAME:

FIRST NAME:

DATE OF BIRTH:

GENDER:

ID NUMBER:

ADDRESS:

MOBILE NUMBER:

ALTERNATIVE PHONE NUMBER:

EMAIL ADDRESS:

PARENT / GUARDIAN DETAILS

The details of a parent or guardian must be provided for participants under the
age of 18 years.
SURNAME:

FIRST NAME:

ID NUMBER:

ADDRESS:

MOBILE NUMBER:

ALTERNATIVE PHONE NUMBER:

EMAIL ADDRESS:

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ST. GEORGE'S COLLEGE | HARARE
31 JULY - 2 AUGUST 2023
 STEAM ON

I (name and ID number of participant)

understand that I take part in the TeXpo Steam On Hackathon at my own risk and
will not hold the TeXpo administration, it’s sponsors, organizers, officials,
employees, or assistants, responsible for any accident, illness, injury, or loss of, or
damage to property, which may occur as a result of my participation in the TeXpo
Steam On Hackathon. I hereby indemnify the TeXpo administration, its sponsors,
organizers, officials, employees, or assistants against all claims arising out of my
participation in the TeXpo Steam On Hackathon.

Signature:

Date:

I (name and ID number of parent or guardian of participant)

understand that (name and ID number of participant)

a child in my care, will participate in the TeXpo Steam On Hackathon at my risk

and will not hold the TeXpo administration, it’s sponsors, organisers, officials,

employees, or assistants, responsible for any accident, illness, injury, or loss of, or

damage to property, which may occur as a result of (name and ID number of

participant) 's participation in the

TeXpo Steam On Hackathon. I hereby indemnify the Texpo administration, its

sponsors, organisers, officials, employees, or assistants against all claims arising

out of (name and ID number of participant)

’s participation in the Texpo Steam On

Hackathon.

Signature:

Date:

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ST. GEORGE'S COLLEGE | HARARE
31 JULY - 2 AUGUST 2023