READ CAREFULLY
WAIVER AND
RELEASE OF LIABILITY
In consideration of THE COLISEUM a Paintball Park furnishing
services
and/or equipment to enable me to participate in paintball games, I agree as follows:
I fully understand
and acknowledge that; (a) risks and dangers exist in my use of Paintball equipment and my participation in Paintball activities;
(b) my participation in such activities and/or use of such equipment may result in my injury or illness including but no limited
to bodily injury, disease strains, fractures, partial and/or total paralysis, eye injury, blindness, heat stroke, heart attack,
death or other ailments that could cause serious disability; (c) these risks and dangers may be caused by the negligence of
the owners, employees, officers or agents of THE COLISEUM; the negligence of the participants, the negligence
of others, accidents, breaches of contract, the forces of nature or other causes. These risks and dangers
may arise from foreseeable or unforeseeable causes; and (d) 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 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 THE COLISEUM, 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 THE COLISEUM and it’s owners, agents, officers and employees 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 or my participation in Paintball activities. I specifically understand that I am
releasing, discharging and waiving any claims or actions that I may have presently or in the future for the negligent acts
or other conduct by the owners, agents, officers or employees of THE COLISEUM. This waiver
is good through 5/1/2009.
MEDICAL PERMISSION AUTHORIZATION
If the participant is of minority age, the undersigned
parent or guardian hereby gives permission for THE COLISEUM to authorize emergency medical treatments as
may be deemed necessary for the child named below while participating in paintball games.
I HAVE READ THE ABOVE WAIVER AND RELEASE AND BY SIGNING IT
AGREE IT IS MY INTENTION TO EXEMPT AND RELIEVE THE COLISEUM PAINTBALL PARK FROM LIABILITY FOR PERSONAL INJURY, PROPERTY DAMAGE
OR WRONGFUL DEATH CAUSED BY NEGLIGENCE OR ANY OTHER CAUSE.
_______________________________________________________________________________
Print Name
Age
Date of Birth
Emergency Phone
_______________________________________________________________________________
Signature
Address City,
State Zip
_______________________________________________________________________________
Signature of Parent/Guardian
E-mail
Date
(if less than 18 years old)