PLAYGROUNDPAINTBALLANDLASERTAG.COM

HOLD 'n HARNESS

Playground Paintball & Laser Tag

Paintball Hold Harmless & Waiver


EACH INDIVIDUAL MUST READ AND SIGN THIS RELEASE OF LIABILTY PRIOR TO PARTICIPATION

In order to participate in these activities, I the undersigned agree and acknowledge that: There is risk of injury, including a potential for permanent disability or death resulting from participation in these activities or from the equipment involved.

I freely assume all such risks both known and unknown and assume full responsibility for my participation,

I have read and understand the rules, including all safety-related rules, and agree to fully comply with all regulation during my participation,


I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin hereby release and hold harmless The Playground paintball and laser tag and the owner Shawn Beaman, their officers, officials, agents and or employees, from any and all liability for injury, disability, death, loss or damage to personal property.

I acknowledge, understand and agree that I have read this release of liability and assume all risk associated with participating and that I sign this release of liability voluntarily and without inducement.

 

 __________________________________________________                     ____________________________________________
PARTICIPANT'S NAME                                                      PARTICIPANTS SIGNATURE(if over 18)

DATE____________ _/______________ /___________       PHONE(__)__________________ AGE________

__________________________________________________________________________________________________

ADDRESS / CITY / STATE / ZIP

 ___________________________________________________________________________________________________
E-MAIL (optional)

 MINOR AGED PARTICIPANTS

All players under the age of 18 at time of participation must have a parent or legal guardian sign below.

I, certify that I am the parent or legal guardian with legal responsibility for the above signed participant and agree to his or her release. I also agree to indemnify the above named companies and individuals from liabilities resulting in his or her participation in these activities for myself, my heirs, assigns and next of kin.

________________________________________        ______________________________________

PARENT / GUARDIAN'S NAME                                            PARENT / GUARDIAN'S SIGNATURE


hold_n_harness__rtf_.rtf
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hold_n_harness__docx_.docx
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                                                                                                                                                                                                         01/26/2013
  

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