1Tick.co.za Digital forms Safari Travel Indemnity Form Example It looks like your internet is very good, do you want to synchronize the data? Total Signed: Total Returning: Sync data Thank you for completing our waiver form. Your submission for Safari Travel Indemnity Form Example event was processed successfully. Hi - welcome! Please let us know if you are a new customer, or a returning customer.... Make a selection New customer Returning customer (please use same email address). Name * Surname * email * Are you a new customer? I'm a new customer Are you completing this on behalf of a minor? Make a selection No Yes For legal Guardian (All fields compulsory) Guardian Full Name and Surname * Relationship to minor * Guardians valid Email Address * Guardians contact number (also for emergencies) * Minor 1 Remove Minor's name * Minor's Surname * Minor's date of birth * Day1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 MonthJanuary February March April May June July August September October November December Year2027 2026 2025 2024 2023 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 Minor's gender * Make a selection Male Female Minor's age * Make a selection 123456789101112131415161718 Any medical conditions * Make a selection Yes No INSERT DETAILS HERE Add another minor First name First name * Last name Last name * Email Email * Contact Number Contact Number * Dietry requirements Dietry requirements * Identity or Passport No Identity or Passport No Medical Aid Medical Aid * Medical Aid Number Medical Aid Number * Gender Gender * Make a selection Male Female Gender diverse Country Country * Make a selection South Africa Australia Germany United Kingdom United States Netherlands India Namibia Afghanistan Albania Algeria American Samoa Andorra Angola Antigua and Barbuda Argentina Armenia Aruba Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Brazil British Virgin Islands Brunei Darussalam Bulgaria Burkina Faso Burundi Cape Verde Cambodia Cameroon Canada Cayman Central Chad Channel Islands Chile China Colombia Comoros Congo Costa Rica Cote d\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\\'Ivoire Croatia Cuba Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini Ethiopia Faroe Islands Fiji Finland France French Polynesia Gabon Gambia Georgia Ghana Gibraltar Greece Greenland Grenada Guam Guatemala Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea Dem. People’s Rep. Korea Kosovo Kuwait Kyrgyz Lao Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao China Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Mauritania Mauritius Mexico Micronesia Moldova Monaco Mongolia Montenegro Morocco Mozambique Myanmar Nauru Nepal New Caledonia New Zealand Nicaragua Niger Nigeria Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Romania Russia Rwanda Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore St Maarten (Dutch part) Slovenia Solomon Islands Somalia South Sudan Spain Sri Lanka St. Kitts and Nevis St. Lucia St. Martin (French part) St. Vincent and the Grenadines Sudan Suriname Sweden Switzerland Tajikistan Tanzania Thailand Timor-Leste Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates Uruguay Uzbekistan Vanuatu Venezuela Vietnam Virgin Islands (U.S.) Yemen Zambia Zimbabwe Language Language * Make a selection English Afrikaans Albanian Arabic Armenian Basque Bengali Bulgarian Catalan Cambodian Chinese Croatian Czech Danish Dutch Estonian Fiji Finnish French Georgian German Greek Gujarati Hebrew Hindi Hungarian Icelandic Indonesian Irish Italian Japanese Javanese Korean Latin Latvian Lithuanian Macedonian Malay Malayalam Maltese Maori Marathi Mongolian Nepali Norwegian Persian Polish Portuguese Punjabi Quechua Romanian Russian Samoan Serbian Slovak Slovenian Spanish Swahili Swedish Tamil Tatar Telugu Thai Tibetan Tonga Turkish Ukrainian Urdu Uzbek Vietnamese Welsh Xhosa How did you hear about us? How did you hear about us? * Make a selection Brochure Word of mouth/referral Printed advertisement Internet search Social media Newsletter Radio or television Saw the facility Other Any medical conditions we need to be aware of? Any medical conditions we need to be aware of? * Make a selection Yes No Emergency contact person Emergency contact person * Emergency contact number Emergency contact number * Company name and website Company name and website * Give a brief description of your business Give a brief description of your business * What forms do you require to go online? What forms do you require to go online? * Booking Id Booking Id * Capture Photo By completing and submitting this form you are agreeing to the following: Are you still stuck with paper forms? If so, I’d love to have a quick 10-minute chat with you. I’ll walk you through how our 1Tick digital forms can make your life a breeze when it comes to getting those indemnities/waivers signed electronically. Why should you make the switch? Well, with digital forms, you get: A Physical signature or Tick box signature A Date, time, and IP address stamp. Clear and readable data (no more deciphering messy handwriting!) Secure online storage at no extra cost Automation to save you valuable time Custom branding to add your personal touch Integrations for smooth operations No more dealing with printing or scanning Automatic emails to clients with signed forms in a cool PDF format Back-office access from your favorite comfy spot Unlimited questions to cover all your bases. Professional and super easy for your clients Dashboard to see all your demographics in one view. Let your clients scan a QR. Export data to Excel or CSV file. And guess what? You can easily share your unique link through WhatsApp, email, text message, or even on-site with a QR code. It’s a game-changer that saves you money, time, and admin hassle. Ready to give it a shot? Just hit up PRICING. No strings attached – you can bail anytime if it’s not your vibe. Questions or just want to chat? I’m all ears! Cheers, 1Tick Team www.1tick.co.za Whats App Business – +44 7922460249 1Tick Team info@1tick.co.za Thanks for checking out our demo. Signature *