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.
PARTICIPANT'S NAME: _____________________________
DATE OF BIRTH: ____
____ 19___
(Please Print)
IN CONSIDERATION of being
permitted to participate in any way in the sport and activities of paintball
under the auspices of THE AMERICAN PAINTBALL LEAGUE, 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 and
death, and while particular protective equipment and personal discipline will
minimize this risk, and the risk of serious injury does exist;
2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and
unknown, EVEN IF ARISING FROM THE 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 practical; and,
4. I, for myself and on behalf of my heirs, assigns, personal
representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS THE AMERICAN
PAINTBALL LEAGUE (APL), THE APL CERTIFIED MEMBER FIELD, the owners and lessors
of premises used to conduct the paintball activities, their officers,
officials, agents and/or employees ("Releasees"), WITH RESPECT TO ANY
AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property,
WHETHER CAUSED BY THE 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
hereafter.
I HAVE READ THIS RELEASE OF
LIABILITY AND ASS~ON 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.
PARTICIPANT'S
SIGNATURE:
_____________________________________
Date Signed: ___
___ 200__
ADDRESS:
______________________________________________ CITY, STATE:
_______________________
ZIP CODE:
_____________ E – Mail:
_________________________________________(optional)
FOR PARTICPANTS OF MINORITY AGE
(UNDER 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 of the American Paintball League (APL) 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.
PARENT/GUARDIAN'S SIGNATURE: ________________________________________
EMERGENCY PHONE #(S): (_____)
_______ - _____________
Date Signed: _____ _____ 200__