DECLARATION & INFORMED CONSENT
a) I agree to taking part in the ICC Belgium activity I am subscribing to. I confirm I have read and understood all the information sent to me regarding this activity, including this disclaimer.
b) I confirm that any form sent to ICC Belgium has been completed accurately and I undertake to update ICC Belgium should any of the information contained in these forms be changed. ICC Belgium is Furthermore not liable for any damage resulting from misreported data in any of these forms.
c) I agree to pay the registration fee, if applicable, for the activity I subscribed to , as mentioned in the invitation or other written communication by ICC Belgium by the due date mentioned in that communication. ). I understand that my participation will not be confirmed and my place not withheld until the due payment is received.
d) I acknowledge the need for a code of conduct based on fairness and mutual respect at ICC Belgium’s activities and I understand that if I fail to adhere to this code of conduct beyond mediation of ICC Belgium staff, my participation to the activity can be terminated , without refunding possibilities.
E) I have accurately reported all my medical conditions when requested and will ensure all possible medication needed during the activity is available for its entire duration.
f) I have notified you of all allergies and the symptoms and treatments associated with them, when requested.
g) I will inform ICC Belgium as soon as possible of any changes in the medical information or other circumstances between now and the start of the activity.
h) I agree to receive medication as instructed and any emergency dental, medical or surgical treatment, including anaesthetics and blood transfusion, as deemed necessary by the medical authorities present.
Liability and Insurance
i) To the extent permissible under applicable law, I hereby understand and agree that ICC Belgium shall only be liable for any loss or damage caused by gross negligence or wilful act of ICC Belgium, its legal representatives or auxiliary persons. Such limitation shall not apply in the case of physical injury, injury to health or death caused by negligence, gross negligence or wilful act of ICC Belgium, its legal representatives or auxiliary persons.
j) I hereby understand that it is my responsibility to obtain adequate insurance cover for the participation at ICC Belgium activities. This applies particularly to property and personal insurances (including travel, accident, personal liability and health insurances).
k) ICC Belgium is not liable for any losses caused by travel costs made for transport to and from the activities location. This is especially the case when costs were made before participation was confirmed, when travelling has been deemed unadvisable or forbidden by the Belgian authorities and/or the participants local authorities, or when the activity had to be canceled due to circumstances beyond ICC Belgium’s control.
L) I understand that in case of cancelation of my participation in an ICC Belgium activity after it was confirmed, the full amount of the participation fee is still payable to ICC Belgium. In exceptional cases, an individual solution can be proposed by ICC Belgium, upon proof that the cancelation happened due to circumstances beyond your control.
Personal Data and Pictures
m) I declare my informed consent that the data collected via forms sent out by ICC Belgium are processed and used for organisational purposes and for guaranteeing my safety and security during ICC Belgium activities.
n) Furthermore I declare my informed consent that the pictures, audio recordings and videos taken during ICC Belgium’s activities can be used for reporting in ICC Belgium’s own, as well as third party print, broadcast and online media. Requests to be excluded from being shown or heard in any iCC Belgium related promotional media can be
directed to firstname.lastname@example.org
o) By my subscription, I agree to adhere to the measures taken by ICC Belgium, the Belgian and international authorities against the Covid-19 virus.