Go Back POD Air Enquiry/Indemnity Form "*" indicates required fields Step 1 of 3 - Basic Details 33% Are you a passenger or a pilot?* Passenger Pilot Are you a member?* Yes No Only members can use the POD Plane We will contact you regarding the membership contribution requirements.What would you like to do?* Fly in the POD Plane (max 6 passengers) Fill the passenger indemnity What would you like to do?* Request permission to use the airstrip with my own plane Fill the pilot indemnity How many passengers? (maximum 6)*123456Arrival Date (To POD)* MM slash DD slash YYYY Departure Date (From POD)* MM slash DD slash YYYY Personal DetailsYour Name* First Last Your Email* Your Address* Street Address City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Other Passenger(s)Passenger 2 Name* First Last Passenger 2 Email* Passenger 3 Name* First Last Passenger 3 Email* Passenger 4 Name* First Last Passenger 4 Email* Passenger 5 Name* First Last Passenger 5 Email* Passenger 6 Name* First Last Passenger 6 Email* Indemnity for Landing on POD Runway Assumption of Risk: The Pilot acknowledges that landing an aircraft on the Runway carries inherent risks and dangers, including but not limited to accidents, property damage, bodily injury, or loss of life. The Pilot voluntarily assumes all such risks and agrees to hold the Owner harmless from any claims, liabilities, or damages arising out of or related to the landing on the Runway. Release and Indemnity: The Pilot agrees to release, discharge, and hold harmless the Owner, its officers, employees, agents, and representatives from any and all claims, actions, demands, liabilities, costs, or expenses, including but not limited to legal fees, arising from or in connection with the use of the Runway by the Pilot. Insurance: The Pilot agrees to maintain adequate insurance coverage for the aircraft and any other necessary insurance policies, including but not limited to liability insurance, to cover any potential liabilities arising from the use of the Runway. Compliance with Laws and Regulations: The Pilot agrees to comply with all applicable laws, regulations, and guidelines governing aircraft operations, including those set forth by local and state authorities. Pilot's Responsibility: The Pilot acknowledges that they are solely responsible for the safe operation of the aircraft, including ensuring its airworthiness, adherence to all relevant regulations, and compliance with any necessary flight clearances or permissions. Termination of Agreement: This agreement may be terminated by either party with written notice to the other party. Termination shall not affect any liabilities or obligations arising prior to the termination date. Governing Law: This indemnity form shall be governed by and construed in accordance with the laws of The Republic of South Africa, without regard to its conflict of laws principles. Right of admission reserved Indemnity for Chartering the POD Plane Assumption of Risk: The Passenger acknowledges that air travel aboard the Aircraft carries inherent risks and dangers, including but not limited to accidents, turbulence, property damage, bodily injury, or loss of life. The Passenger voluntarily assumes all such risks and agrees to hold the Charter Company harmless from any claims, liabilities, or damages arising out of or related to the charter flight. Release and Indemnity: The Passenger agrees to release, discharge, and hold harmless the Charter Company, its officers, employees, agents, and representatives from any and all claims, actions, demands, liabilities, costs, or expenses, including but not limited to legal fees, arising from or in connection with the charter flight. Insurance: The Passenger acknowledges that the Charter Company carries liability insurance for the Aircraft but is encouraged to maintain their own insurance coverage for personal belongings, medical expenses, or other potential liabilities arising from the charter flight. Compliance with Laws and Regulations: The Passenger agrees to comply with all applicable laws, regulations, and guidelines governing air travel, including following the instructions of the Aircraft's crew and complying with any security measures or protocols. Passenger's Responsibility: The Passenger acknowledges that they are solely responsible for their conduct during the charter flight, including following safety instructions, fastening seatbelts when required, and refraining from any behavior that may jeopardize the safety of the flight or other passengers. Termination of Agreement: This charter agreement may be terminated by either party with written notice to the other party. Termination shall not affect any liabilities or obligations arising prior to the termination date. Governing Law: This indemnity form shall be governed by and construed in accordance with the laws of The Republic of South Africa, without regard to its conflict of laws principles. Right of admission reservedAcknowledgement* I acknowledge that I have read and understood the terms of this indemnity form and voluntarily accept all associated risks and responsibilities.Your Signature*Date* MM slash DD slash YYYY Witness Name* First Last Witness Signature*Date* MM slash DD slash YYYY Δ
