Executive Paintball
Field of Valor
239 Otis Road
Blanford Ma. 01008 (413) 848-2507
(800) 636-0014

THIS 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 PAINTBALL EVENT.
 

Participants Name______________________________Date of Birth___________________
                           (please print)

IN CONSIDERATION of being permitted to participation any way in the sport and activities of paintball under the rules of EXECUTIVE PAINTBALL, I acknowledge, appreciate and agree that:

1.    The risk of injury from the activity and weaponry involved in paintball is significant, including the potential for permanent disability or death and while particular protective equipment and personal discipline will minimize this risk the risk of serious injury does exist.

2.    I ACKNOWLEDGE AND FREELY ASSUME ALL SUCH RISKS, both known and unknown EVEN IF ARISING FROM NEGLIGENCE of those persons released from liability below, and assume full responsibility for my participation, and

3.    I understand that the activities of paintball are physically and mentally intense. I understand the rules of play 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 practicable.

4.    I for myself and on behalf of my heirs assigns personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS Executive Paintball, the owners and lessors of premises used to conduct the paintball activities, their officers, agents and or employees (RELEASES), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property, WHETHER CAUSED BY NEGLIGENCE OF THE RELEASEES OR OTHERWISE, 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 paintball activity and event in which I participate thereafter.

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT. FULLY UNDERSTAND IT'S TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT INDUCEMENT.

X________________________________________ Date Signed__________________
    Participant's Signature

_____________________________________________________________________
   Address                                                         City,State                                Zip Code

FOR PARTICIPANTS OF MINORITY AGE (UNDER 18 AT THE TIME OF REGISTRATION)
This is to certify that I as a parent , guardian with legal responsibility for this participant do consent and agree not only in his/her release of Executive Paintball and all other releasees but also to release and indemnify the Releasees from any and all liabilities, incident in his /her involvement in these programs for myself, my heirs, assigns and next of kin.

X__________________________________________________________________________________
   Parent,Guardian Signature                                                         Emergency Phone #'s

Date Signed_____________________________