Youth Adventure Program – Parental Consent &

Transcript:Youth Adventure Program – Parental Consent &:
Youth Adventure Program – Parental Consent & Indemnity Form: Tour Name: 20-Day Youth Adventure Program 2 Tour Dates: 31 July-19 Aug 2026 Tour Duration: 20 Days Departing From: Frankfurt International Airport Final Destination: Frankfurt International Airport Tour Operator: Wildfoot Adventure Safaris Responsible Guide: Colandri Reyneke Contact Number: +264 81 693 9526 1 20 Day Youth Adventure Tour in Namibia Child’s Information: Full Name: ___________________________________________________________________ Date of Birth: _________________________________________________________________ Passport Number: _____________________________________________________________ Nationality: ____________________________________________________________________________________________________________ MEDICAL INFORMATION (We will ask again about medical conditions closer to the tour, to get updated answers): Are there any Pre-Existing Medical Conditions or Allergies that we must be aware off? If so please specify: ____________________________________________________________________________________________________________________________________________________________________________________________________ Medications Taken by child (If applicable): ☐ My child will travel with and administer their own medication ☐ My child needs assistance/supervision with medication ☐ No regular medications Medications Taken: Name: ________________________ Name: ________________________ Dosage: _______________________ Dosage: ________________________ Frequency: ____________________ Frequency: _____________________ Reason: _______________________ Reason: ________________________ Guardian Signature: _____________ 2 20 Day Youth Adventure Tour in Namibia DIETARY RESTRICTIONS: Any dietary restrictions or food allergies? ________________________ MEDICAL INSURANCE & TRAVEL COVER A. Medical Aid / Insurance Provider: Name: ____________________________________________________ Policy Number: _____________________________________________ Emergency Hotline: _________________________________________ B. Travel Insurance Provider (if different): Name: ____________________________________________ Policy Number: _____________________________________ Covers: ☐ Medical Emergencies | ☐ Evacuation | ☐ Repatriation | ☐ Personal Liability ELIGIBILITY & PARTICIPATION The tour is open to participants aged 14–18 years. All participants must comply with the tour’s code of conduct, instructions given by guides, and safety rules. Wildfoot reserves the right to remove any child from the tour, at the parent’s expense, in the case of persistent misconduct, unsafe behavior, or endangerment of the group. Guardian Signature: _____________ 3 20 Day Youth Adventure Tour in Namibia MEDICAL FITNESS Parents must disclose any medical conditions, allergies, or dietary restrictions before departure. Wildfoot reserves the right to deny participation in certain activities if the child is deemed unfit or unwell to safely participate. TRAVEL DOCUMENTATION It is the responsibility of the parents/guardians to ensure the child has: A valid passport (minimum 6 months validity) All necessary visas and border documents for travel through Namibia, Botswana, and Zimbabwe. Signed parental consent affidavits (if legally required for international travel) INSURANCE & LIABILITY All participants are required to have adequate travel insurance covering medical emergencies, evacuation, cancellation, and repatriation. Wildfoot Adventure Safaris will not be liable for personal loss, theft, or damage of belongings.