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Please print, read, sign and bring with you to playing field. Print: Name__________________________________ Address__________________________________ City______________________ State_______ Date_________________ Zip______________ Age__________________________________ Phone Number__________________________________ Parent Signature will allow child under 18 to participate for the current calendar year. X______________________________________ Parent or Guardian Date_____________________________ WAIVER & AGREEMENT I WILL ALWAYS WEAR GOGGLES IN OR NEAR PLAYING FIELD I am completely aware of all the risk involved and that there is a possibility of additional risk if paintball gun or other equipment does not function properly. I also indemnify the lesser and employees against and shall hold both harmless from any and all claims, actions, suits, procedures, cost, expense, damages and liabilities, including attorney’s fees arising out of, connected with or resulting from playing Paintball and/or the equipment, including without limitation, the manufacturer, selection, delivery, possession, use operation of the equipment and the environment. I nevertheless wish to assume any and all risks. I hereby waive and release the lesser on behalf of my estate and all others who may play Paintball with me. I also undertake to always play paintball only in accordance with the safety instructions, rules and suggestions presented to me. Knowing full well the intense physical/mental exertion required to play Paintball, further warrant that I have no medical problems that this increase in physical/ mental exertion would cause me or other to harm. I have read and fully understand the terms of this lease agreement. THIS IS FULLY INTENDED TO BE A LEGALLY BINDING CONTRACT. IF YOU HAVE ANY DOUBTS CONCERNING ANY ASPECT OF ITS CONTENTS, CONSULT AN ATTORNEY BEFORE SIGNING IT. I STATE THAT I AM AT LEAST 18 YEARS OF AGE AND IN GOOD HEALTH. X____________________________________________________________________ PLAYER SIGNATURE