CONSENT AND INDEMNITY : MUSLIM ASSOCIATION OF SOUTH AFRICA NPO 210-044

  1. Attest that I wish to volunteer time, providing any assistance, services and/or goods to the Muslim Association of South Africa (“MASA”) during this pandemic and lockdown period as per the Regulations relating to the National Disaster Act.
  2. I am aware that I will be called upon to assist in a number of services including but not limited to fund raising, procurement of products and goods, marketing, packing of hampers medical products and personal protective equipment and any other goods and products as received by donors and supplied and distributed by MASA.
  3. I confirm that I will abide by any lawful instruction/s from any executive or authorised person/s of MASA and will conduct myself in manner that does not cause unnecessary risk of infection of the Covid-19 Corona Virus (“Corona virus”) to myself and or any other person/s and or exposure to any person/s on the premises. I warrant and confirm that I have not travelled internationally in the past 3 weeks, am not displaying or experiencing any symptoms related to the Corona virus nor been I been in contact with or exposed to any person/s that have tested positive for the virus. Accordingly I warrant and confirm that I am fit, healthy and able to provide any volunteer assistance and services to MASA. I have read , understood and have been explained that an Informed Consent Form (“ICF”) is necessary and required to be given to MASA and accordingly I and agree to all the provisions listed below.
  4. Consent and authorise MASA to utilise this information in any manner of form as they see fit including providing same to the necessary authorities to register myself and or obtain any permission, permits and or authority to be an essential services provider in terms of the applicable legislation.
  5. Am fully aware that there are risks, hazards and uncertainties connected to my rendering of volunteer services and understand that and agree to take certain imperative and necessary precautions to protect myself ,fellow volunteers and any and all persons in the MASA organisations including their affiliates and other parties and organisation members.
  6. Undertake to follow proper protocol as instructed by the Health Department, MASA and or any medical practitioners in protecting myself and others.
  7. I hereby indemnify MASA, their Landlords, donors, sponsors , executive members their affiliates , trustees , directors, members, their families, heirs and successors in title and any and all related participants, practitioners, therapists, doctors and administrative personnel from any responsibility for any injury, harm, disability, or unforeseen circumstance, including the contracting of the Corona Virus and receiving treatment therefore which may negatively impact my health and well-being, including my death while rendering volunteer services to MASA.
  8. Warrant that I have disclosed all important, necessary and pertinent information to, including any comorbidities that I suffer from, and do not have any medical ailments, physical limitations, or mental disabilities that will affect my ability to volunteer my assistance and services.
  9. Undertake to immediately inform any authorised official of MASA should I suffer any symptoms of the Corona Virus and or any serious or adverse risks to my health.
  10. Hereby, hold MASA, their Landlords, donors, sponsors , executive members their affiliates , trustees , directors, members, their families, heirs and successors in title and any and all related participants, practitioners, therapists, doctors and administrative personnel, harmless against and from any and all claims and causes of action that I or my representatives now have or may have in the future for any personal injury, illness, hospitalization, emotional stress or wrongful death of myself, arising out of my rendering of volunteer assistance and services to MASA and participation in any projects undertaken by MASA.
  11. Attest that should any of the provisions of this Indemnity and undertaking be declared invalid, illegal, unenforceable or in conflict with the law of any jurisdiction, the validity, legality and enforceability of the remaining provisions shall not in any way be affected or impaired thereby, and such provision, save for the indemnity to MASA and others, may be severed from this document.
  12. Attest that this indemnity and undertaking is binding on my heirs and successors in title and is entered into freely, voluntarily, and without any undue influence, duress or coercion.