Lake Deneys Yacht Club

Telephone
(27) 016371 1393
Cell
079 472 0093 (Office)
082 570 3367 (Manager)
        Please note that cell-phone reception is not very good
FAX
(27) 016371 2343
E-Mail
Club Manager: manager@ldyc.co.za
Office: ldyc@telkomsa.net
Postal Address
PO Box40, Deneysville, 1932

LDYC Logo.jpg (6009 bytes)


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LAKE DENEYS YACHT CLUB
P O BOX 40, DENEYSVILLE, 1932
TEL: 016-3711393  FAX : 016-3712343 E-MAIL ldyc@telkomsa.net 

CONSENT FORM 

I (full name of father/legal guardian)    ___________________________________________________

Of  (Full address) ____________________________________________________________________

Being father/legal guardian of (child’s/ward’s full name) _____________________________________

Hereby make formal application for my child/ward to make use of the following vessel  ____________

At Lake Deneys Yacht Club

From   :     Date: __________________                    To:                  Date: _____________________ 

I fully understand and accept that all activities are undertaken at my child’s/ward’s own risk, and that my child/ward should wear an approved life jacket at all times whilst on board the vessel. 

I am aware that neither Lake Deneys Yacht Club nor its officers or members accept responsibility for any loss, injury or damage that the person or property of my child/ward may sustain whilst engaged in any sailing activity and waive any right that I or my child/ward may have to claim compensation against Lake Deneys Yacht Club or other members in respect of any loss, injury or damage incurred whilst engaged in any sailing activity howsoever arising and whether as a result of negligence or otherwise and I indemnify them against all claims.

 

Signed:  _____________________________

Capacity : Father / Legal Guardian

Witness :  ____________________________

Dated this  _____________  day of  _________________  200

 

I undertake to indemnify Lake Deneys Yacht Club for all loss or damage caused by my child/ward while using the above vessel whether such loss or damage is caused to the vessel itself or any other property belonging to Lake Deneys Yacht Club.  I undertake that my child/ward shall return the vessel in a clean state and in good order, failing which I accept responsibility for the replacement or repair of the damaged property. 

I further undertake to be liable for any damage or loss caused by my child/ward while using or operating the above vessel to any other property or person 

 

Signed:  _____________________________

Capacity : Father / Legal Guardian

Witness :  ____________________________

Dated this  _____________  day of  _________________  200

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Last modified on : 06 Dec 2016

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