African Dawn Sanctuary Volunteer Application Form
www.africandawnsanctuary.com

Application Form

 

Once African Dawn approves the application, confirmation of acceptance into the program will be sent to the client with a invoice.

 

The client credit card will be charged at confirmation of availability at the project. If client cant pay by credit card a bank transfer must be done to bank details on invoice at least 30 days before arrival at project.

 

If the total fee of the program price is not paid on due date, African Dawn reserves the right to disqualify the applicant and would need to reapply. If an applicant applies 30 days or less before the start of the program then the program full price is payable at time of confirmation of program availability.


PLEASE PRINT AND COMPLETE FORM
FAX BACK TO OUR OFFICE WITH INDEMNITY FORM SIGNED and cc details completed.
or SCAN AND E-MAIL TO mail@africandawnsanctuary.com WITH INDEMNITY FORM SIGNED
or POST TO BOX 2031, JEFFREYS BAY, 6331, SOUTH AFRICA WITH INDEMNITY FORM SIGNED


FAX: +27  (0)866 228 159

PERSONAL DETAILS:

Name:                                                                                            Sex:

Postal Address:

Town:

Postal code:

Country:

Telephone No.:

Fax no.:

E-mail address:

Repeat E-mail address:
Alternative E-mail address:

Passport no.:

Country of issue:

Expiry date:

Date of birth:

Age:

Nationality/Country of citizenship

Medical Insurance details:

NEXT OF KIN

Relationship with Volunteer (e.g. Father, Sister)

Name:

Postal Address:

Town:

Postal code:

Country:

Telephone No.:

Fax no.:

E-mail address:

Language spoken and understood:

Are you a vegetarian? Do you have any special dietary requirements?

 

 

 

Is your Hepatitis vaccination current?

Do you have a medical condition?

 

 

 

Are you a student?

If yes, please specify your field of study?

 

 

International Driver’s license number?

Please list your previous volunteer experience:


 

 

Where did you hear about African Dawn?

 

 

 

What do you wish to achieve on your work experience?




 

 


Please select your accommodation option

Wildlife Sanctuary
    Accommodation Upgrade
Twin Sharing Double Sharing

Starting Date __________ Number of Weeks at project___________

Alternative Date __________

Thornhill Community Project
Accommodation Upgrade Twin Sharing Double Sharing

Starting Date __________ Number of Weeks at project___________         

Alternative Date __________
 

 

 

I ……………………………………….. declare that the above information submitted by me is complete and
accurate. I further realize that any false declaration by me would render any claim whatsoever void and I could
further be liable for prosecution by the laws governing South Africa.

 

__________________                                                ______

Signed By Participant                                                Date

 

 

______________________                                        ______

Signed By Legal Guardian (under21)                        Date

 

INDEMNITY

 

I (full name) (Parent / Guardian if applicant is under 21yrs.) ________________________

Of address______________________________________________________________

Contact tel. no. ______________________mobile phone ________________________

Declare/consent to my daughter/son__________________________________________

That by participating in the work experience program from_____________to_____________

with African Dawn and the partner companies I understand that the activities are undertaken at my/his/her own risk and hereby indemnify African Dawn and its partner companies against any claims whatsoever, that may arise in connection with any, injury, loss or damage to the my/the person or property of me/my daughter/son during the activities at each destination or transport to and from each destination, in the knowledge that the program leaders will take all reasonable precautions for the safety and welfare of the participants.

I understand that costs in respect of any accident or illness, which, in the opinion of the authorities, requires medical attention, are my liability and that I have adequate travel insurance.

 

_______________________                                        _______

Signature of APPLICANT                                              Date

 

_________________________                                    _______

Signature of Legal Guardian  (under21)                        Date

 

 

CREDIT CARD AUTHORIZATION FORM 
 

Volunteer Name: ___________________________________________ 

I hereby authorize African Dawn to bill my
Visa Mastercard American Express Card

for the payment of:

R ............................. ZAR on .……………............(date). 

Name of the Card Holder: _______________________________________________ 

Card Number: _________________________________________________________ 

Expiry Date: __________________________________________________________

Last 3 digits on the back of card: __________________________________________

Address of the Card Holder: _____________________________________________ 

Passport Number of the Card Holder: ______________________________________ 

Telephone Number of the Card Holder:_____________________________________ 

E-mail Address of the Card Holder: ________________________________________ 

Authorized Signature: ____________________________________________________ 

Printed Name of the Authorized Signer: _____________________________________ 
 

African Dawn Sanctuary

P.O. Box 2031, Wavecrest, 6331 Jeffreys Bay

CONTRACT AND INDEMNITY

1)       The Contract

 

All persons applying for African Dawn Volunteers Work Experience must complete and sign the application & Indemnity form. In the case of minors the legal parents or legal guardian should sign. The person or persons who have signed the booking form (or in the case of minors) are hereafter referred to as the clients and applicants. Upon signature the client agrees to be bound by these application conditions. No agent, representative or client of African Dawn Volunteers has any right to alter or vary or waive any of these conditions.

 

2)       Payment / Acceptance of Application

 

The signed and completed application and indemnity forms must be sent to African Dawn Volunteers . Once African Dawn Volunteers approves the application, confirmation of acceptance into the program will be sent to the client at which point the client will deposit the total fee into African Dawn Volunteers Bank Account payable in full, 30 days before date of departure. If the balance of the tour price is not paid on due date, African Dawn Volunteers reserves the right to disqualify the applicant. If an applicant applies 30 days or less before the start of the program then the program full price is payable at time of application.

 

3)       Cancellation / Change by client

 

Any notification of cancellation must be in writing. The date on which the letter is received by African Dawn Volunteers or its agents will determine the cancellation charges applicable. In the event of cancellation the following charges apply: 42 - 30 days 60% of total fee payable, 29 - 16 days 80% of total fee payable, 15 - 0 days before departure 100% of fee payable of fare retained. Please note the deposit is non refundable.

 

4)       Cancellation by African Dawn

 

African Dawn Volunteers reserves the right to cancel any program.  In the event of a program being canceled for whatever reason, the client may choose a full refund of all moneys paid, or alternatively any other program or tour that African Dawn Volunteers is in a position to offer.  No further liability by African Dawn Volunteers to the client with regard to the cancellation will arise.  In the event of an applicant selecting an alternative program or tour offered by African Dawn Volunteers, which is lower in the price than the original program, then the client will be entitled to a refund of the difference.  If the alternative is more expensive, then the client will be liable for the additional cost.

 

5)       Unused Services/Leaving Projects

 

In the event of a client failing to join a program, joining after departure, or leaving prior to completion, African Dawn Volunteers will accept no refunds or liability.

 

6)       Information

 

The information in the brochures, circulars, leaflets and other advertisements issued by African Dawn Volunteers

Or its agents is given in good faith, and unless specifically stated shall not form part of any contract between the client and African Dawn Volunteers

 

7)       Changes

 

African Dawn Volunteers does not accept any liability arising out of changes to itineraries, or any other matters relating to a program, due to factors outside its control.  These factors include wars, strikes, weather, political disputes, border closures, delayed flights etc.  Any expenses incurred by the client arising out of these changes are for their own account. Volunteers may not change their own programs.

 

8)       Travel Documents

 

All clients must be in possession of Insurance, a valid passport, together with any necessary visas or required vaccinations, and the client accepts full responsibility for obtaining the same.  Any information or advice given by African Dawn Volunteers or its agents with regard to the above is given in good faith, but African Dawn Volunteers can accept no responsibility for the information given.  Should a client be refused entry to any country due to incorrect or incomplete documentation, African Dawn Volunteers will not be held liable for any costs of such delays or repatriation costs for the client.

 

9)       Authority on Tour

 

The client accepts that at all times the decisions of the authorities will be final on all matters likely to endanger the safety and well being of the client.

 

10)    Unsuitability

 

During the program should a client, in the sole opinion of African Dawn Volunteers or its duly authorized representative, be considered unsuitable for the program, due to being in contravention of any customs or laws of South Africa, or by reason of causing inconvenience or annoyance to other clients, then African Dawn Volunteers may disqualify the applicant. In such circumstances transportation back to nearest Airport will be provided for the client’s departure from South Africa. African Dawn Volunteers will not be liable to make any refund to the client, and no other liability by African Dawn Volunteers to the client will arise.

 

11)    Limitation of Liability

 

The client that certain risks exist which is an inherent part of travel in South Africa accepts clients’ bookings on the understanding, and clients undertake all programs and associated expeditions entirely at their own risk.  While African Dawn Volunteers takes every precaution to ensure the safety of clients, no responsibility can be accepted for any death, injury or loss that might occur to such clients, sustained from any causes whatsoever.  The client and his/her dependents, heirs, executors, administrators or assigns, hereby indemnify and hold blameless, African Dawn Volunteers, its members, employees, representatives and agents from any claims of whatsoever nature and from any liability for delay, loss, damage, injury, illness or death arising from any cause whatsoever out of events related to or occurring during a program.

 

12)    The Contract

 

This contract, by whosoever it is made and wherever it is made, is subject to and shall be governed and construed according to South African law.

 

13)    Claims and Complaints

 

Any complaint that the client has against African Dawn Volunteers or its projects must firstly be taken up with the program leaders, in order that the program leader is given an opportunity to remedy the problem.  If the client has any further complaint this must be lodged in writing to African Dawn Volunteers within 7 Days.   If these procedures are not followed, then African Dawn Volunteers will not be held liable at all.

 

14)    Itinerary

 

As most of the projects take in sick, wounded or orphaned animals it is hard to give a precise itinerary. The detailed information above is a guide as to what the volunteer will be doing at any one time he/she may do more or less however circumstances at the Project dictate. Baby animals are seasonal.

 

15)    Price Increase

 

African Dawn Volunteers reserves the right to increase program prices due to any increases in fuel costs, park entrance fees or fluctuation of exchange rates.

 

16)    Insurance

It is compulsory for all clients to effect appropriate travel and cancellation insurance before commencing a program. This insurance, which must be for the full duration of the program must cover cancellation, curtailment, medical, emergency travel and personal accident.

 

17)    Defamation of Character

 

Any volunteer found to be defaming the character of any of African Dawn Volunteers staff, Projects or African Dawn Volunteers as a company will immediately be asked to leave their program without a refund from African Dawn Volunteers, and legal action will be taken against the participant at their cost.

 

18)    Excursions                                                                                                                                                                    

Volunteers participating in any excursion out of African Dawn Volunteers programs do so at their own risk.

19)    Advertising

 

This document and brochure replaces all other advertising whether on a website, written brochure, agent’s brochure or any other means.

 

19)    Third Party Projects

 

African Dawn Volunteers is not responsible for any claims or damages encountered at third party project offered.