Release
and Waiver of liability, assumption OF RISK, and indemnity AGREEMENT
("AGREEMENT")
Name: _______________________________________________________________ Todays Date: _______________________
(Print name)
In consideration of participating in the Paintball
Activity at Paintball Quest, 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 participation 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 participating in the Activity, the
conditions in which the event takes place, or the negligence of the
"releasees" named below; and that there may be other 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, costs, and damages I
incur as a result of my participation in the Activity.
I hereby release, discharge, and covenant not to sue
PAINTBALL QUEST INC., its respective administrators, directors, agents,
officers, volunteers, and employees, other participants, any sponsors,
advertisers, and, if applicable, owners and lessors of premises on which the
Activity takes place, (each considered one of the "RELEASEES" herein)
from 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
"releasees" 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
Releasees, I will indemnify, save, and hold harmless each of the releasees from
any loss, liability, damage, or cost which any may incur as the result of such
claim.
I have read this RELEASE AND WAIVER OF LIABILITY,
ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT, 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 intend it be a complete and
unconditional release of all liability to the greatest extend allowed by law
and agree that if any portion of this agreement is held to be invalid the
balance, notwithstanding, shall continue in full force and effect.
Signature of Participant:
______________________________________________ Date of Birth: _________________________
Address:
___________________________________________________________ Phone Number: _______________________
PARENTAL CONSENT
AND
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 Releasees from all liability, claims, demands, losses, or
damages on the minor's account caused or alleged to have been caused in whole
or in part by the negligence of the Releasees 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
Releasees, I WILL INDEMNIFY, SAVE AND HOLD HARMLESS each of the Releasees from
any litigation expenses, attorney fees, loss liability, damage, or cost any
Releasee may incur as the result of any such claim.
Emergency
Contact Number: _________________________________________ Date:
_________________________
Printed
Name of Parent or Guardian:
__________________________________________________________________________
Signature
of Parent or Guardian:
_____________________________________________________________________________