| JC PAINTBALL FIELD PAINTBALL WAIVER
ALL PARTICIPANTS MUST READ THIS RELEASE OF LIABILITY FORM PRIOR TO SIGNING AND PARTICIPATING IN PAINTBALL GAMES AND COMPETITIONS In order to participate in paintball activities, I the undersigned agree and acknowledge that: There is risk of injury, including a potential for permanent disability or death. resulting from any participation in paintball activities and or from the equipment involved in participation in paintball activities. I freely assume all such risks, both known and unknown and assume full responsibility for my participation. I have read and understand the rules of play, including all safety related rules, and agree to fully comply with the rules and safety regulations during my participation. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin hereby release and hold harmless JC Paintball Field, their officers, officials, agents and or employees, from any and all liability for injury, disability, death, loss or damage to personal property. I acknowledge, understand and agree that I have read this release of liability and assume all risk associated with participating in paintball competitions and that I sign this release of liability voluntarily and without inducement. Participant�s Name (PRINT NEATLY) |___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___| Date of Birth |___|___| - |___|___| - |___|___| Age in Years |___|___| First Time at JC Paintball Field? circle YES or NO Email (PRINT NEATLY) |___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___| Street Address |___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___| City |___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___|___| State |___|___| Zip |___|___|___|___|___| Phone |___|___|___| - |___|___|___| - |___|___|___|___| Participant�s Signature ____________________________________________________________ Date Signed |___|___| - |___|___| - |___|___| MINOR AGED PARTICIPANTS All players under the age of 18 at the time of participation must have a parent or guardian sign below. I certify that I am the parent or guardian with legal responsibility for the above signed participant and agree to his/her release and agree to indemnify the above named companies and individuals from all liabilities resulting from his/her participation in paintball competition and activities for myself, my heirs, assigns and next of kin. Parent/Guardian�s Signature ___________________________________________________ Date Signed |___|___| - |___|___| - |___|___| |
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