VIEWS: 5 PAGES: 1 POSTED ON: 10/31/2009
Mountain of Doom Paintball Field 3071 Co. Rd. 515, Hanceville, AL 35077 256-352-6289 Internal Use Only General Waiver and Release from Liability Player #_______ Pre-Paid Entry Pre-Paid Air Adult Entry Youth Entry Military Entry Adult Air Youth Air In consideration of Mt. Doom Paintball & 24 Hour Games furnishing facilities, services and/or equipment to enable me (or minors in my care) to participate in paintball activities and games, I agree to the following: I fully understand and acknowledge that: Risks and dangers exist in my use of the paintball equipment and in my participation in paintball activities; My participation in such activities and/or use of such equipment may result in my injury including, but not limited to, bodily injury, disease, strains, fractures, partial and/or total paralysis, eye injury, blindness, heat stroke, heat exhaustion, heart attack, death or other ailments that could cause serious disability; These risks and dangers may be caused by the negligence of the owners, employees, officers, or agents of Mt. Doom Paintball, the negligence of the games' participants, the negligence of others, accidents, breeches of contract, the forces of nature, other causes; and, By my participation in these activities and/or use of equipment, I hereby assume all risks and dangers, and all responsibility for any losses and/or damages, whether caused in whole or in part by the negligence or other conduct of the owners, agents, officers, employees of Mt. Doom Paintball & 24 Hour Games, myself or by any other person. I, on behalf of myself, my personal representatives and my heirs, hereby voluntarily agree to release, waive, discharge, hold harmless, defend and indemnify Mt. Doom Paintball & 24 Hour Games and its owners, officers, employees and agents from any and all claims, actions, or losses for bodily injury, property damage, wrongful death, loss of services, or otherwise, which may arise out of my use of paintball equipment and/or my participation in paintball activities. I specifically understand that I am releasing, discharging, and waiving all claims or actions that I may have presently, or in the future, for the negligence or other conduct by the owners, agents, officers, or employees of Mt. Doom Paintball & 24 Hour Games. I HAVE READ THE ABOVE WAIVER AND I RELEASE AND AGREE WITH MY SIGNATURE THAT IT IS MY INTENT TO EXEMPT AND RELIEVE MT. DOOM PAINTBALL & 24 HOUR GAMES, AND ITS OWNERS, AGENTS, OFFICERS AND EMPLOYEES FROM ALL LIABILITY FOR PERSONAL INJURY, PROPERTY DAMAGE, OR WRONGFUL DEATH CAUSED BY NEGLIGENCE, OR BY ANY OTHER CAUSE. Participant’s Name (Print) _____________________________ Signature [or Guardian’s] _____________________________ Date: ______________ Participant's Address ___________________________________ City __________ State ________ Zip _________________ Phone # ________________ Emergency Name/Number ________________________ E-mail Address __________________________________________________ (optional) OUR PAINTBALL GAMES ARE HELD OUTDOORS IN ALL WEATHER, AND CAN BE STRENUOUS AT TIMES. ARE THERE ANY PRE-EXISTING MEDICAL CONDITIONS/ALLERGIES THAT WE SHOULD KNOW ABOUT (i.e. bee sting allergy, hypertension, diabetes, etc.)?
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