Release and Waiver of Liability, Assumption of Risk, and Indemnity
Agreement (“Agreement”)
In consideration of participating in the Game of Paintball I
represent that I understand the nature of this Activity and that I am qualified,
in good health, and in proper physical condition to participate in such Activity.
I acknowledge that if I believe event conditions are unsafe, I will immediately
discontinue participation in the Activity.
I fully understand that this Activity involves risk of serious
bodily injury, including permanent disability, paralysis and death, which
may be caused by my own actions, or inactions, those of other participating
in the event, the conditions in which the event takes place, or the negligence
of the “releasees” named below; and that there may be other risks
either not know to me or not readily foreseeable at the time; and I fully
accept and assume all such risks and all responsibility for losses, costs,
and damages I incur as a result of my participation in the Activity.
I hereby release, discharge, and covenant not to sue Springfield
Paintball, Inc., its respective administrator, directors, agents, officers,
volunteers, and employees, other participants, any sponsors, advertisers,
and, if applicable, owners and lessors of premises on which the Activity takes
place, (each considered one of the “RELEASEES” herein) from all
liability, claims, demands, losses, or damages on my account caused or alleged
to be caused in whole or in part by the negligence of the “releasees”
or otherwise, including negligent rescue operations; and I further agree that
if, despite this release, waiver of liability, and assumption of risk I, or
anyone on my behalf, makes a claim against any of the Releasees, I will indemnify,
save and hold harmless each of the releasees from any loss liability, damage,
or cost which any my incur as the result of such claim.
I have read this RELESAE OF WAIVER OF LIABLILITY, ASSUMPTION
OF RISK, AND INDEMNITY AGREEMENT, understand that I have given up substantial
rights by signing it and have signed it feely and without any inducement or
assurance of any nature and intend it be a complete and unconditional release
of all liability to the greatest extend allowed by law and agree that if any
portion of this agreement is held to be invalid the balance, notwithstanding,
shall continue in full force and effect.
________________________________/________________ Date:
____________________
Printed name of participant Age
________________________________________________ _________________________
Signature of participant Phone#
PARENTAL CONSENT
AND I, the minor’s parent and /or legal guardian, understand the nature
of the above referenced activities and the minor’s experience and capabilities
and believe the minor to be qualified to participate in such activity. I hereby
release, discharge, covenant not to sue and AGREE TO INDEMNIFY AND SAVE AND
HOLD HARMLESS each of the Releasees form all liability, claims, demands, losses,
or damages on the minor’s account caused or alleged to have been caused
in whole or in part by the negligence of the Releasees or otherwise, including
negligent rescue operations, and further agree that if, despite this release,
I, the minor, or anyone on the minor’s behalf makes a claim against
any of the above Releasees, I WILL INDEMNIFY, SAVE AND HOLD HARMLESS each
of the Releasees from any litigation expenses, attorney fees, loss liability,
damage, or cost any Releasee may incur as the result of any such claim.
________________________________/________________ Date:
____________________
Printed name of Parent/Guardian Age
________________________________________________ _________________________
Parent/Guardian Phone#