Splat Tag, Inc. 651-488-7700
RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OR RISK,
AND INDEMNITY AGREEMENT ("AGREEMENT")
Date _________________________________
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 participating in
the Activity.
I fully understand that this Activity involve 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 Splat Tag, Inc.,
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 "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 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.
________________________________________________________________________ |
__________________________________________ |
Printed name of participant |
Date of Birth |
________________________________________________________________________ |
__________________________________________ |
Signature of participant |
Phone number |
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 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 Releases, I WILL
INDEMNIFY, SAVE AND HOLD HARMLESS each of the Releases from any
litigation expenses, attorney fees, loss liability, damage, or cost any
Release may incure as the result of any
such claim.
___________________________________________ |
___________________________________________ |
__________________________ |
Printed name of parent/guardian |
Signature of parent/guardian |
Contact phone number |