Cybertronix cc t/a “Lost In Time” Indemnity & Waiver Policy
Declaration
In consideration for my being able to participate in any of the activities (hereinafter called the "EVENTS") provided by Lost In Time, I state that I am familiar with all the hazardous conditions which may exist in connection with such Events, which include but are not limited to:
Breakable mirrors
Bumping into mirrors
Flashing lights
Crooked stairways
Low hanging objects
Vertigo
Closed spaces
Visual Illusions
Despite being aware that there are many hazards (some of which are listed above), which may exist in connection with my participation in such Events, I voluntarily elect to participate in the activities linked to such Events with the full knowledge of such hazards.
I further state that I assume the risk for any injuries and damages and costs that I may sustain in connection with my participating in the Events, and I hereby fully release and forever indemnify Lost In Time, its Officials and Directors and Employees and Agents, Sponsors of the Events, and where applicable, their respective agents and employees from all claims, damages, actions, suits or judgments that may result from any type of injury or liability that I may sustain while participating in the Events.
I hereby indemnify and hold harmless Lost In Time, its Officials and Directors and Employees and Agents, sponsors of the Events and where applicable, the sponsors and their respective agents, employees, successors and assigns from any injury or liability or costs or death so sustained.
I also assign to Lost In Time, the exclusive commercial use of all photographs and photographic reproductions, television broadcast and motion pictures taken of me during the Events.
I also agree to conduct myself in a sportsmanlike manner prior to, during, and after the Events and while I am in the vicinity of the Events.
Assumption of Risk
The undersigned further states that he/she hereby assumes the risks for any injuries and liabilities and costs that he/she may sustain in connection with his/her participation in the Events and he/she hereby fully releases and forever discharges Lost In Time, its Officials and Directors and Employees and Agents, and where applicable, the sponsors and their respective directors, shareholders, agents, employees, successors, assigns and affiliated organizations, from any claims, damages, actions, suits, or judgments resulting from their negligence or other causes that may result from any injury or death that the undersigned may sustain while participating in the event and thereby indemnifies and holds harmless CYBERTRONIX, its Officials and Directors and Employees and Agents, and where applicable, the promoters and sponsors, and their respective directors, shareholders, agents, employees, successors, assigns and affiliated organizations, from any injury or death so sustained.
The undersigned verifies his/her agreement to accept any and all risk of injury or death arising out of or related to the Events by signing this release form.
Knowing and Voluntary Execution
I have carefully read this agreement and fully understand its contents and I am aware that this is a release of liability and a contract between myself and CYBERTRONIX, its Officials and Directors and Employees and Agents, and where applicable, their respective directors, shareholders, agents, employees, successors, assigns and affiliated organizations.
I sign this agreement of my own free will.
General
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I agree that this agreement may be treated as a defence to any action or proceeding that may be brought, instituted or taken by anyone against the Indemnified Party, its officers, employees, and agents for injuries and/or damages sustained as a result of the
Activity as described herein.
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I have read this agreement and understand all of its terms, and I have executed this instrument voluntarily and with full knowledge of its significance.
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I confirm that I fully appreciate the risks that I may be exposed to during my participation in the Activity and that I voluntarily accept such risks.
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I hereby consent to the Indemnified Party and its officers, employees, agents and third party service providers lawfully collecting, processing, storing and transferring my personal information, as defined in the Protection of Personal Information Act 4 of 2013
(POPI) in accordance with POPI and to process such information in insofar as necessary.
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The parties agree that this agreement may be signed electronically in terms of the Electronic Communications and Transactions Act 25 of 2002 (ECTA) and that in terms of ECTA, the agreement, in electronic format, is not without legal force and effect merely because it is wholly or partly in the form of a data message.