PaintBall Plus PAINTBALL BUSINESS
8113 Viola Rd NE Eyota, MN 55934 ASSOCIATION INS. PROGRAM
Rochester, MN 55906 507-261-8033 READ CAREFULLY
WAIVER AND RELEASE OF LIABILITY
In consideration of PaintBall Plus furnishing services and or equipment to enable me to participate in paintball games, I agree as follows:
I fully understand and acknowledge that; (a) risks and dangers exist in my use of paintball equipment and my participation in paintball activities; (b) my participation in such activities and or use of such equipment may result in my injury or illness including but not limited to bodily injury, disease strains, fractures, partial and or total paralysis, eye injury, blindness, heat stroke, heart attack, death or other ailments that could cause serious disability; (c) these risks and dangers may be caused by the negligence of the owners, employees, officers or agents of PaintBall Plus, the negligence of the participants, the negligence of others, accidents, breaches of contract, the forces of nature or other causes. These risks or dangers may arise from foreseeable or unforeseeable causes; and (d) by my participation in these activities and or use of equipment, I hereby assume all risks and dangers and all responsibility for any losses and or damages, whether caused in whole or in part by the negligence or other conduct of the owners, agents, officers, employees of PaintBall Plus, or by any other person.
I, on behalf of myself, my personal representatives and my heirs, hereby voluntarily agree to release, waive, discharge, hold harmless, defend and indemnify PaintBall Plus and it’s owners, agents, officers and employees from all claims, actions or losses for bodily injury, property damage, wrongful death, loss of services or otherwise which may arise out of my use of paintball equipment or my participation in paintball activities, I specifically understand that I am releasing, discharging and waiving any claims or actions that I may have presently or in the future for the negligent acts or other conduct by the owners, agents, officers or employees of PaintBall Plus. This waiver is good until 01/01/05.
I HAVE READ THE ABOVE WAIVER AND RELEASE AND BY SIGNING IT AGREE IT IS MY INTENTION TO EXEMPT AND RELIEVE PAINTBALL PLUS FROM LIABILITY FOR PERSONAL INJURY, PROPERTY DAMAGE OR WRONGFUL DEATH BY NEGLIGENCE OR ANY OTHER CAUSE.
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Print Name Age Date of Birth Phone
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Signature Address City, State, Zip
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Signature of Parent or Guardian Date E-Mail
(If less than 18 yrs old)
** PLEASE NOTE ** IF THIS FORM IS NOT SIGNED IN PERSON, WE WILL CONTACT ALL
PARENTS/GUARDIANS BY PHONE TO VERIFY. THANK YOU. PAINTBALL PLUS |