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 IN THE ACTIVITY.
I FULLY UNDERSTAND THAT THIS ACTIVITY
INVOLVES RISKS OF SERIOUS BODILY INJURY, INCLUDING PERMANENT DISABILITY,
PARALYSIS AND DEATH, WHICH MAY BE CAUSED BY MY OWN ACTIONS, OR INACTIONS, THOSE
OF OTHERS PARTICIPATION IN THE EVENT, THE CONDITIONS IN WHICH THE EVENT TAKES
PLACE, OR THE NEGLIGENCE OF THE RELEASES NAMED BELOW: AND THAT THERE MAY BE OTHR
RISKS EITHER NOT KNOWN TO ME OR NOT READILY FORESEEABLE AT THIS TIME; AND I
FULLY ACCEPT AND ASSUME ALL SUCH RISKS AND ALL RESPONSIBILITY
FOR LOSSES, COST, AND DAMAGES I INCUR AS A RESULT OF MY PARTICIPATION IN
THIS ACTIVITY.
I HEREBY RELEASE, DISCHARGE, AND
COVENANT NOT TO SUE CREEKSIDE PAINTBALL, BOUNCE AROUND RENTALS AND DOUGLAS MOSS,
OWNER, AND ANY AND ALL RESPECTIVE ADMINISTRATORS, DIRECTORS, AGENTS, OFFICERS,
VOLUNTEERS, AND EMPLOYEES, OTHER PARTICIPANTS, ANY SPONSORS, ADVERTISERS, AND IF
APPLICABLE, OWNERS AND LESSEES OF PREMISES ON WHICH THE ACTIVITY TAKES PLACE, (
EACH CONSIDERED ON OF THE RELEASES HEREIN) FROM ANY AND 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 RELEASES 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 RELEASES, I WILL INDEMNIFY, SAVE AND HOLD HARMLESS OF THE RELEASES
FROM ANY LOSS, LIABILITY, DAMAGE, OR COST WHICH I MAY INCUR AS THE RESULT OF
SUCH CLAIM.
I HAVE READ THIS RELEASE AND WAIVER OF
LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT, I UNDERSTAND THAT I HAVE
GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT AND HAVE SIGNED IT FREELY AND WITHOUT
ANY INDUCEMENT OR ASSURANCE OF ANY NATURE AND AGREE
THAT IF ANY PORTION OF THIS AGREEMENT IS HELD TO BE INVALID THE BALANCE, NOT
WITHSTANDIGN, SHALL CONTINUE IN FULL FORCE AND EFFECT.
_____________________________________________________________________________
SIGNATURE OF PARTICIPANT & DATE
___________________________________
PRINT NAME OF PARTICIPANT
PARENTAL CONSENT
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 RELEASES FROM ALL LIABILITY, CLAIMS, DEMANDS, LOSSES, OR DAMAGES
INCURRED FROM THE MINOR'S ACCIDENT CAUSED OR ALLEGED TO HAVE BEEN CAUSED IN WHOLE
OR IN PART BY THE NEGLIGENCE OF THE RELEASES 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 RELEASES, I WILL INDEMNIFY, SAVE AND HOLD HARMLESS EACH OF THE
RELEASES FROM ANY LITIGATION EXPENSES, ATTORNEY FEES, LOSS LIABILITY, DAMAGE, OR
COST ANY RELEASE MAY INCUR AS THE RESULT OF ANY SUCH CLAIM.
___________________________________________________________________________
SIGNATURE OF PARENT/GUARDIAN & DATE
PRINT NAME OF PARENT/GUARDIAN
THIS RELEASE/WAIVER IS VALID FOR ONE YEAR FROM DATE 0F SIGNATURE