Release and Waiver of Liability, Assumption of Risk,
and Indemnity Agreement ("Agreement")
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
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 event, 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 this Activity.
I hereby release, discharge, and covenant not to sue SPLAT SHACK PAINTBALL, 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 the
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, INDINDEMNITY
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.
___________________________________________________ Date:___________________________
Printed name of participant
______________________________________________________
Signature of Participant
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 fo 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.
_____________________________________________________ Date:____________________________
Printed name of Parent/Guardian
______________________________________________________
Signature of Parent/Guardian
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 event, 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 this Activity.
I hereby release, discharge, and covenant not to sue SPLAT SHACK PAINTBALL, 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 the
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, INDINDEMNITY
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.
___________________________________________________ Date:___________________________
Printed name of participant
______________________________________________________
Signature of Participant
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 fo 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.
_____________________________________________________ Date:____________________________
Printed name of Parent/Guardian
______________________________________________________
Signature of Parent/Guardian