Youth Adventure Program – Parental Consent &
Description: 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
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slide1. 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: _____________<br>
slide2. 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: _____________<br>
slide3. 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.
While every effort is made to ensure safety, participation in the tour and all its activities is at the participant's own risk.
PHOTOGRAPHS & MEDIA
Photos and videos taken during the tour may be used for promotional purposes (unless the parent/guardian opts out in the section on the last page). Guardian Signature: _____________<br>
slide4. 4 20 Day Youth Adventure Tour in Namibia CANCELLATION POLICY
Cancellations must be submitted in writing to Wildfoot Adventure Safaris.
Refunds are subject to the following:
More than 60 days before departure: 75% refund (minus admin fees). 30–59 days before departure: 50% refund. Less than 30 days: No refund (Exceptions for emergencies will be reviewed on a case-by-case basis.)
FORCE MAJEURE
Wildfoot Adventure Safaris is not liable for delays, changes, or cancellations due to unforeseen events including but not limited to: natural disasters, political instability, pandemics, or travel restrictions.
CHANGES TO ITINERARY
The itinerary is subject to change based on weather, safety, border delays, or other operational requirements.
All decisions regarding such changes will be made at the discretion of the tour leader and in the best interest of group safety. Guardian Signature: _____________<br>
slide5. 5 20 Day Youth Adventure Tour in Namibia CODE OF CONDUCT FOR YOUTH PARTICIPANTS
OUR EXPECTATIONS:
To ensure a safe, fun, and respectful environment for all participants, the following rules must be followed at all times. By joining this program, you agree to:
GENERAL BEHAVIOR
Respect guides, staff, fellow participants, and local communities.
Follow all instructions given by the guides or facilitators — especially during activities involving wildlife, water, or remote travel.
No bullying, harassment, or discrimination will be tolerated.
No alcohol, drugs, smoking, or vaping is allowed under any circumstance.
No leaving the group area or campgrounds without permission from a guide.
Participate actively in the program — this includes helping with group duties like setting up camp, cleaning, or cooking (when applicable).
PHONES & SOCIAL MEDIA
Mobile phones may be allowed during travel time and free evenings but are generally discouraged during activities.
Sharing inappropriate content or photos on social media during the tour is strictly prohibited.
Respect the privacy of others — do not post or share images of other participants without their permission.
SAFETY & RESPONSIBILITY
Wear seatbelts during all vehicle travel.
Stay within sight and sound of the group during hikes, safaris, and excursions.
Wear appropriate gear (hats, sunscreen, shoes, jackets) for activities.
Report any injury, discomfort, or problem to a guide immediately.
Keep your belongings safe — you are responsible for your own valuables.
CONSEQUENCES FOR BREAKING THE RULES
If a participant breaks any of the above rules, the following actions may be taken:
Verbal warning from the guide
Notification to parents
Removal from activity
In serious or repeated cases: dismissal from the tour at the parents' expense
PARTICIPANT ACKNOWLEDGEMENT
I, the undersigned, have read and understood the Code of Conduct for the 20-Day Youth Adventure Program. I agree to follow these rules to ensure the safety and enjoyment of the group. Participant Name: __________________________________________
Participant Signature: _______________________________________
Date Singed: ______________________________________________ Guardian Signature: _____________<br>
slide6. 6 CONSENT DECLARATION OF PARENTS:
I, the undersigned, hereby:
Declare that the information above is true and complete to the best of my knowledge.
Authorize Wildfoot Adventure Safaris and its staff to seek emergency medical treatment for my child if I cannot be reached.
Understand that while every effort will be made to contact me immediately, treatment may be administered by medical professionals in my absence if necessary.
I/We the undersigned, hereby:
Grant permission for my/our child to participate in the full duration of the Wildfoot Youth Adventure Tour.
Acknowledge that I/we have been informed about the tour’s itinerary, accommodation arrangements, activities, and transportation methods.
Understand that activities may include but are not limited to hiking, swimming, wildlife safaris, quad biking, kayaking & mokoro trip, cultural visits, and bush walks.
Authorize the designated tour leader(s) to act in loco parentis, including the right to arrange emergency medical care if needed.
Confirm that my/our child is fit to travel and participate in the activities described.
LIABILITY WAIVER AND INDEMNITY
Understand that although every effort is made to ensure safety, I/we accept that participation includes inherent risks.
I/We agree that Wildfoot Adventure Safaris, its employees, partners, agents, and affiliates will not be held responsible for any illness, injury, loss, damage, or delay experienced by my/our child, unless caused by proven negligence.
We indemnify Wildfoot Adventure Safaris against any claims by third parties or legal entities related to our child’s participation in the tour, to the fullest extent permitted by Namibian law. 20 Day Youth Adventure Tour in Namibia Guardian Signature: _____________<br>
slide7. 7 MEDIA RELEASE
☐ I consent to my child being photographed or filmed during the tour for promotional purposes.
☐ I do not consent to media use of my child’s image.
I, the undersigned, hereby:
Declare that the information above is true and complete to the best of my knowledge.
Authorize Wildfoot Adventure Safaris and its staff to seek emergency medical treatment for my child if I cannot be reached.
Understand that while every effort will be made to contact me immediately, treatment may be administered by medical professionals in my absence if necessary.
Parent/Guardian 1 Parent/Guardian 2 (Optional)
Full Name: __________________________ Full Name:_________________________
Relationship: ________________________ Relationship:_______________________
Contact Number: _____________________ Contact Number:____________________
Date: ______________________________ Date:_____________________________
Signature: __________________________ Signature: _________________________ 20 Day Youth Adventure Tour in Namibia<br>
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: _____________<br>
slide2. 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: _____________<br>
slide3. 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.
While every effort is made to ensure safety, participation in the tour and all its activities is at the participant's own risk.
PHOTOGRAPHS & MEDIA
Photos and videos taken during the tour may be used for promotional purposes (unless the parent/guardian opts out in the section on the last page). Guardian Signature: _____________<br>
slide4. 4 20 Day Youth Adventure Tour in Namibia CANCELLATION POLICY
Cancellations must be submitted in writing to Wildfoot Adventure Safaris.
Refunds are subject to the following:
More than 60 days before departure: 75% refund (minus admin fees). 30–59 days before departure: 50% refund. Less than 30 days: No refund (Exceptions for emergencies will be reviewed on a case-by-case basis.)
FORCE MAJEURE
Wildfoot Adventure Safaris is not liable for delays, changes, or cancellations due to unforeseen events including but not limited to: natural disasters, political instability, pandemics, or travel restrictions.
CHANGES TO ITINERARY
The itinerary is subject to change based on weather, safety, border delays, or other operational requirements.
All decisions regarding such changes will be made at the discretion of the tour leader and in the best interest of group safety. Guardian Signature: _____________<br>
slide5. 5 20 Day Youth Adventure Tour in Namibia CODE OF CONDUCT FOR YOUTH PARTICIPANTS
OUR EXPECTATIONS:
To ensure a safe, fun, and respectful environment for all participants, the following rules must be followed at all times. By joining this program, you agree to:
GENERAL BEHAVIOR
Respect guides, staff, fellow participants, and local communities.
Follow all instructions given by the guides or facilitators — especially during activities involving wildlife, water, or remote travel.
No bullying, harassment, or discrimination will be tolerated.
No alcohol, drugs, smoking, or vaping is allowed under any circumstance.
No leaving the group area or campgrounds without permission from a guide.
Participate actively in the program — this includes helping with group duties like setting up camp, cleaning, or cooking (when applicable).
PHONES & SOCIAL MEDIA
Mobile phones may be allowed during travel time and free evenings but are generally discouraged during activities.
Sharing inappropriate content or photos on social media during the tour is strictly prohibited.
Respect the privacy of others — do not post or share images of other participants without their permission.
SAFETY & RESPONSIBILITY
Wear seatbelts during all vehicle travel.
Stay within sight and sound of the group during hikes, safaris, and excursions.
Wear appropriate gear (hats, sunscreen, shoes, jackets) for activities.
Report any injury, discomfort, or problem to a guide immediately.
Keep your belongings safe — you are responsible for your own valuables.
CONSEQUENCES FOR BREAKING THE RULES
If a participant breaks any of the above rules, the following actions may be taken:
Verbal warning from the guide
Notification to parents
Removal from activity
In serious or repeated cases: dismissal from the tour at the parents' expense
PARTICIPANT ACKNOWLEDGEMENT
I, the undersigned, have read and understood the Code of Conduct for the 20-Day Youth Adventure Program. I agree to follow these rules to ensure the safety and enjoyment of the group. Participant Name: __________________________________________
Participant Signature: _______________________________________
Date Singed: ______________________________________________ Guardian Signature: _____________<br>
slide6. 6 CONSENT DECLARATION OF PARENTS:
I, the undersigned, hereby:
Declare that the information above is true and complete to the best of my knowledge.
Authorize Wildfoot Adventure Safaris and its staff to seek emergency medical treatment for my child if I cannot be reached.
Understand that while every effort will be made to contact me immediately, treatment may be administered by medical professionals in my absence if necessary.
I/We the undersigned, hereby:
Grant permission for my/our child to participate in the full duration of the Wildfoot Youth Adventure Tour.
Acknowledge that I/we have been informed about the tour’s itinerary, accommodation arrangements, activities, and transportation methods.
Understand that activities may include but are not limited to hiking, swimming, wildlife safaris, quad biking, kayaking & mokoro trip, cultural visits, and bush walks.
Authorize the designated tour leader(s) to act in loco parentis, including the right to arrange emergency medical care if needed.
Confirm that my/our child is fit to travel and participate in the activities described.
LIABILITY WAIVER AND INDEMNITY
Understand that although every effort is made to ensure safety, I/we accept that participation includes inherent risks.
I/We agree that Wildfoot Adventure Safaris, its employees, partners, agents, and affiliates will not be held responsible for any illness, injury, loss, damage, or delay experienced by my/our child, unless caused by proven negligence.
We indemnify Wildfoot Adventure Safaris against any claims by third parties or legal entities related to our child’s participation in the tour, to the fullest extent permitted by Namibian law. 20 Day Youth Adventure Tour in Namibia Guardian Signature: _____________<br>
slide7. 7 MEDIA RELEASE
☐ I consent to my child being photographed or filmed during the tour for promotional purposes.
☐ I do not consent to media use of my child’s image.
I, the undersigned, hereby:
Declare that the information above is true and complete to the best of my knowledge.
Authorize Wildfoot Adventure Safaris and its staff to seek emergency medical treatment for my child if I cannot be reached.
Understand that while every effort will be made to contact me immediately, treatment may be administered by medical professionals in my absence if necessary.
Parent/Guardian 1 Parent/Guardian 2 (Optional)
Full Name: __________________________ Full Name:_________________________
Relationship: ________________________ Relationship:_______________________
Contact Number: _____________________ Contact Number:____________________
Date: ______________________________ Date:_____________________________
Signature: __________________________ Signature: _________________________ 20 Day Youth Adventure Tour in Namibia<br>