Group Name (if applicable)
Select Group (If Applicable)
Lauer
Sommers
Name of Adult - Must be at least 18 years of age
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DOB
Drivers License
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How many children do you need to add to this waiver?
None
1 child
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3 children
4 children
5 children
6 children
7 children
8 children
Waiver
"RELEASE AND WAIVER OF LIABILITY In consideration of participating in the SPORT OF AIRSOFT or PAINTBALL or OTHER ACTIVITY at AIRSOFT XTREME, I represent, that I understand the nature of this Activity and that I am qualified, in good health, not under a doctor’s care for any condition, have not been diagnosed with a condition that results in a higher risk of bones breaking, and am in proper physical condition to participate in such Activity. I have informed TPetersonGroupLLC dba Airsoft Xtreme (from now on referred to as Airsoft Xtreme) management of any health conditions that they need to know about for purposes of the health or safety of me or other parties taking part in an activity at Airsoft Xtreme. In case of injury or illness, caused by any disease, known or unknown, natural disaster, eating something from the concession stand or my own food, an altercation with another person, a tree branch hitting ones self in the head, falling, tripping, twisting an ankle, hitting ones self on the head or any act causing unconsciousness, any reaction to bushes/weeds, wood tick bites, insect bites/stings, animal bites/interaction, I will bear the cost of any self prescribed or doctor prescribed steps to cure or relieve discomfort, evacuation procedures such as ambulance, helicopter, rescue team and professional medical care. I acknowledge that if I believe event conditions are unsafe. I will immediately discontinue participating in the Activity. I fully understand that this Activity involves risks of serious bodily injury, including sickness, 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 myself, my automobile and gear being present, and/or participation in any Activity at this place of business. I hereby release, discharge, and covenant not to sue Airsoft Xtreme, 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 he 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 hereby give my consent to Airsoft Xtreme and its Respective administrators, directors, agents, officers, volunteers, employees and other participants, sponsors, advertisers, owners and lessors of premises to take photographs, video recordings, and/or sound recordings in document the activities of Airsoft Xtreme games and services. I grant Airsoft Xtreme permission to send me promotional emails. I grant Airsoft Xtreme, and their affiliates permission to use the photographs, negatives, prints, motion pictures, video/audio tapings, or any other reproduction of the same for Airsoft Xtreme educational and promotional purposes in manuals, flyers, the Internet, or other publications. If I rent or use an item from Airsoft Xtreme, I promise to pay for any damages that are incurred by my misuse that causes any damage to any part of the gun or item. I will also be monetarily responsible for damaged and/or lost guns, face masks, magazines, barrel
I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, AND I FULLY UNDERSTAND ITS TERMS, AND UNDERSTAND THAT I HAVE GIVEN UP LEGAL RIGHTS BY SIGNING IT AND SUBMITTING THIS FORM, AND I AM SIGNING IT AND SUBMITTING THIS FORM FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
IP: 3.146.152.99
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