IS A RELEASE OF LIABILITY-READ BEFORE SIGNING
NOTE: THIS FORM MUST BE READ AND SIGNED
BEFORE THE PARTICIPANT IS ALLOWED TO TAKE PART IN ANY AIRSOFT EVENT.
(Please Print Legibly)
DATE OF BIRTH
DATE SIGNED ______________________
IN CONSIDERATION of being
permitted to participate in any way in the sport and activities of airsoft under
the auspices of Mountain Top Paintball, I acknowledge, appreciate and agree
1. The risk of injury from the activity and weaponry involved in
airsoft is significant; including the potential for permanent disability and
death, and while particular protective equipment and personal discipline will
minimize this risk, the risk of serious injury does exist.
2. I knowingly and freely assume such risks, both known and
unknowns, even if arising from negligence of those persons release from
liability below, and assume full responsibility for my participation; and,
3. I understand that the activities of airsoft are physically
and mentally intense. I understand
and rules of plan and will comply with all rules and regulations.
If I observe any unusual or unnecessary hazard during my participation, I
will bring such to the attention of the nearest official as soon as practical;
and, the owners and leasers of premises used to conduct the airsoft activities,
their officers, agents and/or employees (“Releasees”).
4. I, for myself, and on behalf of my heirs, personal
representatives, assigns, and next of kin, hereby release and hold harmless
Mountain Top Paintball, Evike.com Inc., Evike.com staff and all sponsors with respect to any and all
liabilities, injuries, disability, and
death, or loss or damage to person or property, whether caused by the negligence
of releasees or ortherwise, except that which is the result of gross negligence
and/or wanton misconduct.
5. I understand and agree that this Release of Liability
Agreement covers each and every airsoft activity and event in which I
participate in at Mountain Top Paintball from this date forward.
I HAVE READ THIS RELEASE OF
LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS,
UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT
FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
PARTICIPANTS OF MINORITY AGE
AGE 18 AT TIME OF REGISTRATION)
This is to certify that I,
as parent/guardian with legal responsibility for this participant, do consent
and agree not only to his/her release Mountain Top Paintball and all other
releasees but also to release and indemnify the releasees from any and all
liabilities incident to his/her involvement in these programs for myself, my
heirs, assigns, and next of kin.
EMERGENCY PHONE #
PARENT/GUARDIAN PRINTED NAME