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In consideration of SCP furnishing services
and/or equipment to enable me to participate in paintball/Airsoft 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 the negligence of
the participants, the negligence of others, accidents, breaches of contract,
the forces of nature or other causes. These risks and 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, 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 and it's owners, agents,
officers and employees from any and 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.
I HAVE READ THE ABOVE WAIVER AND RELEASE, AND BY SIGNING
IT AGREE IT IS MY INTENTION TO EXEMPT AND RELIEVE FROM LIABILITY FOR PERSONAL
INJURY, PROPERTY DAMAGE OR WRONGFUL DEATH CAUSED BY NEGLIGENCE OR ANY OTHER
CAUSE.
____________________________
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_________________
Print Name
Age Date of
Birth Phone
__________________________
______________________ __________________
Signature
Address
City, State Zip
______________________________________
____________________________
Signature or
Parent/Guardian
E-mail
(if less than 18 yrs old)
___________________________
DATE
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