CV Paintball/Airsoft Waiver

Participant Name *

First Name Last Name

Phone Number *

Area Code Phone Number

E-mail *

Age *

Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Date of Event *

Month Day Year

You are this person's parent or legal guardian *

You must be the parent or legal guardian to sign a waiver for someone under 18 years old. By clicking this box you certify that you are the parent or legal guardian of the participant.

Waiver *

THE UNDERSIGNED 1. Has asked CV Paintball/Tim Houser/Canyonview Camp to be allowed to play PAINTBALL/AIRSOFT/REBALL and acknowledges that the game involves physical exertion and other risks, known and unknown, and may result in injury to the undersigned or others playing the game, even if all safety rules are followed. 2. Is aware of the possibility of risks of injury, including, but not limited to, being shot by a paintball, falling, tripping, being hurt by a wild animal, heat stroke, heart attack, insect bites & stings, poisonous, cutting, stinging or piercing plants, improper use, malfunction or operation of equipment by the undersigned or any other player and others not following the safety rules. Players will be exposed to both natural and man-made hazards. The possibility of permanent disability or death does exist. 3. Agrees to play the game according to the rules which have been explained, posted, and provided and to follow directions given by any game referees. 4. Warrants and acknowledges that his/her physical condition is excellent and his/her mental state is sufficiently stable to enable him/her to participate safely in the game. This includes not being on any medications that would pose a risk to him/her under physically exerting conditions. 5. Agrees to use any Paintball/Airsoft/Reball equipment in a manner which will not cause injury or damage to himself / herself or others playing. 6. Authorizes use of photos, videos, name, comments, game results, etc. for promotional purposes. 7. Understands and agrees to follow all safety rules and procedures and that such rules and procedures not followed by others could result in my injury or death. 8. Understands that serious and permanent eye injury, including loss of eyesight, can occur if approved paintball/airsoft/reball safety eyewear is not worn in any area where paintball/airsoft/reball guns maybe intentionally or accidentally discharged. He/She understands that it his/her responsibility to wear approved safety eyewear and he/she accepts that responsibility. 9. Understands that the safety eyewear can fog or become dirty and agrees that despite any problems that he/she will keep them securely fastened to protect the eyes and will not remove them while on the playing field, at the chronograph, at the target range or in any other area where he/she might be struck by a paintball/BB/reball, other gas powered projectile device used in paintball/airsoft/reball. 10. Understands that loss of hearing from an ear shot, disorientation and injury from throat, groin, head or ear shots can occur if proper safety equipment is not worn to protect these areas, and understands it is his/her responsibility to wear or not wear such items. IN CONSIDERATION of being permitted to play the game, the undersigned, on behalf of himself/herself, his/her successors or assigns hereby releases and forever discharges CV Paintball/Tim Houser/Canyonview, land owners, managers, equipment distributors, and their successors, assigns, employees, volunteers, officers, agents and franchisees, dealers or operators both jointly and severally, from any and all actions, covenants, claims and demands for damages, costs, expenses (including attorneys' fees), loss or injury, however arising, including negligence of CV Paintball/Tim Houser/Canyonview which may have been or may be sustained by the undersigned in any way relating to or arising out of the playing PAINTBALL/AIRSOFT/REBALL or the equipment, including but not limited to, the manufacture, selection, delivery, possession, use, or operation of the equipment or the natural environment. The undersigned desires and agrees to assume any and all risks. I hereby agree to the above release and acknowledge the receipt of the referenced safety rules (see reverse side). I have read each and every item of this waiver, I understand what each item means, will participate in spite of the herein mentioned risks and I agree to abide by the terms of this waiver. This waiver applies to any and all paintball/airsoft/reball games I participate in at present or in the future.

eSignature of Parent/Guardian *

WAIVER AND RELEASE OF LIABILITY