Mad Cow Paintball
RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OR RISK, AND INDEMNITY AGREEMENT ("AGREEMENT")
Please Print Clearly!
Date of birth:_______________________
Date Signed:_________________________
Participants must be 10 or older to play!
Printed name of participant:_______________________________________________
Emergency Phone Number:_______________________________________________
In consideration of
participating in the SPORT 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 participating in the Activity.
I fully understand that this
Activity involve 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 event, the conditions in which the event takes
place, or the negligence of the "releases" 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 Mad Cow Paintball, and 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 "RELEASES" 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 or 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 each of the releases 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 and assurance of any nature and intend it be a
complete and unconditional release of all liability to the greatest extent
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:
______________________________________________________________________________________
Mailing Address:_______________________________________
City:_____________________
State:________
Zip:____________
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 Releases 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 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.
Printed name of parent/guardian:
______________________________________________________________________________
Signature of parent/guardian: _________________________________________________________________________________