RELEASE AND WAIVER OF LIABILITY AND
ASSUMPTION OF RISK AGREEMENT,
AND INDEMNITY AGREEMENT (“AGREEMENT”)
Date___________________________
(Please Print)
Participant’s
Name_______________________________________
Address________________________________
City____________________ State_____ Zip_________
Phone Number__________________________
In consideration of
participating in the SPORT OF
PAINTBALL (“Activity”), I represent that I understand the nature of the
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 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 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 BLUE RIDGE PAINTBALL PARK, its respective administrators,
directors, agents, officers, volunteers, employees, other participants, any
sponsors, advertisers, and owners or 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 to 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.
__________________________________________ Date of
Birth__________________________
Printed
Name of Participant
__________________________________________
Signature
of Participant
PARENTAL CONSENT
(UNDER AGE 18)
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 Release, I
WILL INDEMNIFY, SAVE AND HOLD HARMLESS each of the Releases from any litigation
expenses, attorney fees, loss liability, damage, or cost any Release my incur
as the result of any such claim.
__________________________________________
Printed
name of Parent/Guardian
__________________________________________
Signature
of Parent/Guardian