Indemnity - Loko Fitness

Indemnity, Waiver and POPIA

Agreement

Indemnity, Waiver & POPIA

Indemnity, Waiver & POPIA Notice

Please read carefully. By submitting this form, you agree to the clauses below.

Assumption of Risk. I understand that physical activity and related programs carry inherent risks. I voluntarily participate and accept responsibility for injury, loss or damage, except where caused by gross negligence or wilful misconduct under South African law.
Medical Fitness. I confirm that I am medically fit to participate or have consulted a healthcare professional. I will disclose relevant conditions and stop exercise if adverse symptoms occur.
Emergency Care. I consent that coaches/staff may provide or arrange first aid and/or emergency assistance if reasonably required. I accept responsibility for any associated costs.
Indemnity & Limitation of Liability. I indemnify and hold harmless the organisers, owners, coaches and facilities from claims arising from participation, except to the extent not permitted by law and excluding liability for gross negligence or wilful misconduct.
POPIA Notice & Consent. Personal information is collected for enrolment, safety, scheduling and communication, stored securely, and retained only as needed for these purposes and legal requirements. You may request access, correction or deletion where lawful. By consenting below, you authorise processing and storage of the information provided.
Media (Photos/Video). You may choose to consent (or not) to reasonable use of photos/video for programme communication and marketing as indicated below.
Communication. You agree to receive operational messages (e.g. schedule/venue changes) via email/SMS/WhatsApp; marketing is optional and limited to this programme.
Governing Law. This agreement is governed by the laws of the Republic of South Africa. If any clause is invalid, the remaining clauses remain enforceable.

Participant Details

Full Name (as on ID/Passport) *

ID/Passport Number *

Date of Birth

Participant is *

Mobile Number *

Email Address *

Residential Address

Parent/Guardian (for minors)Only required if the participant is a minor (under 18).

Parent/Guardian Full Name *

Parent/Guardian ID Number *

Relationship to Participant *

Parent/Guardian Mobile Number *

Parent/Guardian Email Address *

Health & Emergency

Medical Conditions / Allergies / Medications (optional)

Emergency Contact Name *

Emergency Contact Phone *

Acknowledgements & Consents

Assumption of Risk *I understand the risks and accept responsibility.

Medical Fitness *I confirm I am medically fit and have disclosed relevant conditions.

Emergency Care Consent *I consent to reasonable first aid/emergency assistance if needed.

POPIA Consent *I consent to the processing of my personal information for the stated purposes.

Media Consent *I CONSENT to reasonable use of photos/video (programme marketing only).I DO NOT consent to photos/video.

Signature & Final Declaration

Typed Full Name (Electronic Signature) *

Date of Signing *

Electronic Signature Affirmation *I understand that my typed name constitutes my electronic signature under the Electronic Communications and Transactions Act, 2002, and that by signing I agree to all clauses in this indemnity/waiver.