WAIVER AND RELEASE OF LIABILITY FORM
RELEASE OF LIABILITY, WAIVE OF CLAIMS,
ASSUMPTION OF RISK AND INDEMNITY AGREEMENT
BY SIGNING THIS DOCUMENT YOU WILL WAIVE CERTAIN LEGAL RIGHTS,
INCLUDING THE RIGHT TO SUE
To: William Armstrong o/a
M&B Paintball
Assumption of Risk:
1.
I, the
undersigned, wish to play Paintball, I
recognize and understand that playing Paintball, (hereinafter
called the “Game”) involves certain risks. Those risks include, but are not
limited to, the risk of injury resulting from possible malfunction of the
equipment used in the Game and injuries from tripping or falling over obstacles
in the game playing field. In addition, I recognize that the exertion of
playing the Game could result in injury or death.
2.
Despite
these and other risks, and fully understanding such risks, I wish to play the
Game and hereby assume the risks of playing the Game. I also hereby hold
harmless the “Sponsors” and indemnify them against any or all claims, actuons, suits, procedures, costs, expenses (including attorney’s
fees and expenses), damages and liabilities arising out of , connected with, or
resulting from my playing the Game, including without limitation, those
resulting from the manufacture, selection, delivery, possession, use or
operation of such equipment. I hereby release the Sponsors from any and all
such liability, and I understand that this release shall be binding upon my
estate, my heirs, my representatives and assigns. I hereby certify to the
Sponsors that I am in good health and do not suffer from a heart condition or
other ailment which could be exacerbated by the exertion involved in playing
the Game, I further certify that I am 18 years of age or older.
(Initials)
In consideration of participating in the “Game”, I hereby agree as
follows:
1.
TO WAIVE
ANY AND ALL CLAIMS that I have or may in the future have against
William Armstrong o/a M&B Paintball, their directors,
officers, employees, agents, and representatives (all of whom are hereinafter
collectively referred to as the “Releasees”);
2.
TO RELEASE
THE RELEASEES from any and all liability
fro any loss, damage, injury, or expense that I may suffer or that my next of
kin my suffer as a result of my participation in Paintball due to
any cause whatsoever, INCLUDING NEGLIGENCE ON THE PART OF THE RELEASEES;
3.
TO HOLD
HARMLESS AND INDEMNIFY THE REALEASEES from any and all liability for any damage to property of, or personal
injury to, any third party, resulting from my participation in Paintball;
and
4.
That this
Agreement shall be effective and binding upon my heirs, next of kin, executors,
administrators and assigns, in the event of my death.
I HAVE READ AND UNDERSTOOD THIS AGREEMENT, AND I AM AWARE THAT BY SIGNING
THIS AGREEMENT I AM WAIVING CERTAIN LEGAL RIGHTS WHICH I OR MY HIERS, NEXT OF
KIN, EXECUTORS, ADMINISTRATORS AND ASSIGNS MAY HAVE AGAINST THE RELEASEES.
Date Signed: ______________________________ Witnessed by the Releasees
of M&B Paintball
________________________________________ ________________________________________
Printed Name of Participant Signature of Participant
________________________________________ ________________________________________
Printed Name of Parent/Guardian (if under 18) Signature
of Parent/Guardian (if under 18)
________________________________________ ________________________________________
Email Address Phone
Number
PLEASE READ CAREFULLY!
Form 5039 (00/07)