Ntu Philosophy Foc 2015 Indemnity Form 3o2a47

NTU PHILOSOPHY ENYGMA ORIENTATION 2015 INDIVIDUAL INDEMNITY FORM NTU HSS Philosophy Division Orientation Dates: 5 – 6 August 2015 INDEMNITY FORM (To be signed by the participant) I declare that all personal information provided by me to NTU HSS Philosophy Division to be true, correct and complete. I will observe strict compliance with all rules, regulations, requirements and instructions related to the NTU Philosophy Enygma Orientation 2015. I note that that NTU Philosophy Enygma Orientation 2015 is a day camp and that there will be no staying overnight in school involved. I acknowledge that participation in the NTU Philosophy Enygma Orientation 2015 comes with inherent risks. I hereby declare that I am aware of the risks involved and am participating at my own free will and volition. I will assume all such risks myself. I consent to the collection and use of my personal data above for the sole purpose of NTU Philosophy Enygma Orientation 2015. I also consent to the disclosure of the personal data to clinics/hospitals (if applicable) in the process of serving the foregoing purpose, such as ission for medical services and incident reporting in times of illness and / or emergencies. With my participation in the NTU Philosophy Enygma Orientation 2015, I shall not hold the NTU HSS Philosophy Division, Nanyang Technological University, its officers, agents and employees liable for any damage to or loss of property or any injury or loss of life where such damage to or loss of property or any injury or loss of life is not caused by the negligence of NTU HSS Philosophy Division, Nanyang Technological University, its officers, agents and employees.

_____________________________________ Name of Participant

__________________________ Signature

_________________ Date

Parent’s or Guardian’s Undertaking (To be completed if the participant is below the age of 21 years old) I, being the parent, guardian or person having the care and custody of _______________________ (Name of Participant), do consent that s/he may participate in NTU Philosophy Engyma Orientation 2015, and, in consideration of NTU HSS Philosophy Division, Nanyang Technological University, its officers, agents and employees permitting him/her to so participate, undertake that I will not, whether on behalf of my child / ward or in my own right, hold NTU HSS Philosophy Division, Nanyang Technological University, its officers, agents and employees liable for any damage to or loss of property or any injury or loss of life where such damage to or loss of property or any injury or loss of life is not caused by the negligence of Nanyang Technological University, its officers, agents and employees. I consent to the collection and use of my personal data above for the sole purpose of NTU Philosophy Engyma Orientation 2015. I note that that NTU Philosophy Enygma Orientation 2015 is a day camp and that there will be no staying overnight in school involved. I also note that participants are required to report to school in the morning and leave at night.

______________________________________ Name of Parent / Guardian of the Participant

__________________________ Signature

_________________ Date