J+D PAINTBALL SUPPLY AND FIELD
9 N. Herman St. New
419 629-3942
jdpaintb@nktelco.net
WAIVER AND RELEASE OF LIABILITY
In consideration of field
furnishing services and /or equipment to enable me to participate in paintball and/or
airsoft games, I agree as follows:
I fully understand and acknowledge that; (a) risks and
dangers exist in my use of Paintball and/or airsoft equipment and my
participation in Paintball and/or airsoft activities; (b) my participation in
such activities and/or use of such equipment may result in my 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, property owners, employees,
officers or agents of field.; 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, property owners,
agents, officers, employees of field, 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, property 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 and/or airsoft equipment or my participation in
Paintball and/or airsoft 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,
property owners, agents, officers or employees of J+D Paintball’s
field or shop.
I HAVE READ THE ABOVE
WAIVER AND RELEASE AND BY SIGNING IT AGREE IT IS MY INTENTION TO EXEMPT AND
RELIEVE J+D Paintball AND PROPERTY OWNERS FROM
LIABILITY FOR PERSONAL INJURY, PROPERTY DAMAGE OR WRONGFUL DEATH CAUSED BY
NEGLIGENCE OR ANY OTHER CAUSE.
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Signature Age Date Phone
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Print Name
Address
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City State Zip
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Signature of parent or
guardian (if less than 18yrs. old) Email Address__________________________________