Skip to main content

    RETURN Africa Logo

    Guest Details


    Guest Name:
    Nationality:

    Passport or ID Number:
    Check-in Date:

    Names of any Children or Wards:

    Emergency Contact (Name):
    Emergency Contact (Contact Number):

    Allergies/Dietary Requirements?

    How did you hear about us?

    Indemnity

    RISKS:
    You have chosen to visit the Makuleke Contractual National Park (MCNP), part of the Greater Kruger National Park. This is a moderate malaria area where you may encounter dangerous wildlife and plants that can cause bodily harm, illness or death. Whilst every reasonable precaution is taken to ensure the safety of guests, the area is inherently dangerous and poses a risk to people who reside or participate in activities in and around the area.

    ASSUMPTION OF RISK:
    I have considered the nature and extent of the risk involved and voluntarily accept all risks (both known and unknown), including those risks that result from the negligence of the Provider. I take full responsibility for my stay and participation in any of the activities offered.

    RELEASE FROM LIABILITY:
    I acknowledge and accept that I, my heirs, estate, insurers, successors and assigns, will have no claim against Elsmore Lodges (Pty) Ltd t/a RETURNAfrica, its employees or contractors (RETURNAfrica) for any direct or indirect claims or causes of action for damages for personal or bodily injury, disability, death, loss or damage to person or property, or any costs or expenses of any nature arising out of my stay in MCNP or participation in the activities even if it is caused by the negligence of RETURNAfrica, to the fullest extent permitted by law.

    INDEMNIFICATION:
    I indemnify RETURNAfrica for any damage or harm I may cause to any person or their property while participating in activities, tours and excursions of any nature, whether intentionally or negligently. This means that I will be responsible for payment for any damage or harm I cause while engaging in the activities.

    WALKING:
    No Children under the age of 16 are eligible to partake in the Pafuri Walking activities. All safety instructions must be complied with to keep yourself and other participants on the walk safe. You will be participating in this activity entirely at your own risk.

    SMOKING:
    Smoking in the rooms / tents is strictly forbidden as this poses a fire and health safety risk. Please be aware that extreme caution must be exercised when disposing of ash and cigarette butts (especially in the dry season). By signing this indemnity, I agree that I will be personally liable for any damages that result from my smoking or disposal of cigarettes.

    ACCEPTANCE OF RULES:
    I acknowledge that I have read and will abide by the rules and regulations of the camp as contained herein. Furthermore, I agree to adhere to any instructions given to me by any employee, director or contractor of RETURNAfrica, whether in writing or verbally. This includes instructions given to me in any safety talk or in any other context. By signing below, I acknowledge that I have had an opportunity to consider the above terms, rules and possible risks associated with my stay and my participation in activities, tours and excursions.



    Full Name:

    Signature:
    (to be signed at camp on day of arrival)
    Date:
    (to be signed at camp on day of arrival)

    In my capacity as Parent/ Legal Guardian/Curator of the participants named under GUEST DETAILS above, I consent to the participation of my child/ward in the activities referred to in this document. PARENT OR LEGAL REPRESENTATIVE OR GUARDIAN (if applicable)

    Full Name:

    Signature:
    (to be signed at camp on day of arrival)
    Date:
    (to be signed at camp on day of arrival)


    You don’t have to print this form; we’ll have it ready and printed for you when you arrive at the camp.