• I/we, the undersigned, accept full responsibility for any loss I/we might suffer as a result of injury, illness, loss of life or damage or loss of property that I/we may sustain during the proposed flight from any cause in the air or on the ground whatsoever or howsoever arising and I/we indemnify and hold the pilot in command, its agents, employees and associates, harmless against any such claim whether or not such injury, loss or damage can be attributed directly or indirectly to the negligence of whatsoever nature or degree on the part of the pilot in command, MCC Aviation, its agents, employees and associates. I/we record that I/we are aware of the inherent risks involved in flying, which risks include loss of damage to personal property, injury or fatality, accident or illness and weather. Knowing the inherent risks and dangers involved I/we certify that I/we are fully capable of participating in flying and that I/we will obey the lawful instructions of the pilot in command covering any aspects of the flight and I/we acknowledge that I/we are fully bound and will comply with those instructions. I/we voluntarily assume the risk inherent in taking part in the flight. My/our general health is good and there is nothing to my/our knowledge which renders me/us unfit to participate in the flight. This exclusion of liability and indemnity is binding on my/our heirs, dependants, executors and assigns.

    Notwithstanding anything to the contrary contained in this Indemnity, "claim" means any liability in excess of the sum/s insured by the pilot in command, the aircraft owner, MCC Aviation, its agents, employees and associates in respect of all sums which the latter entities shall become legally liable to pay and shall pay as compensatory damages in respect of accidental bodily injury and/or accidental damage to property caused by the aircraft or by any person in terms of any insurance policy currently in force. It is recorded that such limitations on insurance applies in aggregate in any one accident or occurrence and not in respect of each passenger. I/we waive and abandon any claims over and above funds available from such insurance currently in force arising from an accident or occurrence.

    By submiting this form I/we hereby acknowledge having read, understood and accepted the terms and conditions of this indemnity.

  • Flight Details

  • Passenger Details

  • In agreeing to the terms and conditions below, I, an individual over the age of 18 of sound mind, knowingly, voluntarily, and freely agree to the terms of this binding Indemnity and Exclusion of Liability.