In consideration of being allowed to participate in any way in this athletics/sports event, and related activities, the undersigned:
1. Agree that the parent(s) or legal guardian(s) will instruct the minor participant that prior to participating he or she should inspect the facilities and equipment to be used, and if the participant believes anything is unsafe, he or she should immediately advise his or her parent or supervisor of such condition(s) and refuse to participate.
2. Acknowledge and fully understand that each participant will be engaged in activities that involve risk of serious injury, including permanent disability and death, and severe social and economic losses which might result not only from their own actions, inactions or negligence but the action, inaction or negligence of others, the rules of play, or the condition of the premises or of any equipment used. Further, that there may be other risks not known to us or not reasonably foreseeable at this time.
3. Assume all the foregoing risk and accept personal responsibility for the damages following such injury, permanent disability or death.
4. Release, waive, discharge and covenant not to sue The Scenario Directors, Wayne Dollack, Jacqueline Dollack, Wayne Dollack 24 Hour Role-Playing Scenario Games, Inc., Wayne's World of Paintball, Inc. its affiliated clubs, their respective administrators, directors, agents, coaches, and other employees of the organization, other participants, sponsoring agencies, sponsors, advertisers, and, if applicable, owners and leasers of premises used to conduct the event, all of which are hereinafter referred to as "releases," from any and all liability to each of the undersigned, his or her heirs and next of kin for any and all claims, demands, losses or damages on account of injury, including death or damage to property, caused or alleged to be caused in whole or in part by the negligence of the releasees or otherwise.
I/WE HAVE READ THE ABOVE WAIVER AND RELEASE, UNDERSTAND THAT I/WE GIVE UP SUBSTANTIAL RIGHTS BY SIGNING IT AND SIGN THIS RELEASE FREELY AND WITHOUT DURESS OR UNDER INFLUENCE OF ANY KIND. I ALSO UNDERSTAND THAT BY SIGNING I AM STATING THAT MY CHILD IS ABOVE THE AGE OF 10 YEARS OLD.
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PARENT OR GUARDIAN (Signature/Relationship)
DATE
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PARENT OR GUARDIAN (Signature/Relationship)
DATE
Printed Name of Parent or Guardian:______________________________________________
Printed Name of Participant:_____________________________________________________
Address of Participant: _________________________________________________________
City_________________________State_______ Zip__________Phone:_________________