WAIVER AND RELEASE OF LIABILITY

     READ CAREFULLY

                              

Schemes & Themes, LLC d/b/a Adrenaline Shot Paintball = ASP

In consideration of ASP 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 not 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 ASP; 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 is 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 by in part by the negligence or other conduct of the owners, agents, officers, employees of ASP, or by any other person.

I, on the behalf of myself, my personal representatives and my heirs, hereby voluntarily agree to release, waive, discharge, hold harmless defend and indemnify ASP 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 is 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 ASP.

Medical Permission Authorization

If the participant is of Minority Age, the undersigned parent or guardian hereby gives permission for ASP to authorize emergency medical treatment 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,  I AGREE IT IS MY INTENTION TO EXEMPT AND RELIEVE ASP FROM LIABILITY FOR PERSONAL INJURY, PROPERTY DAMAGE OR WRONGFUL DEATH CAUSED BY NEGLIGENCE OR ANY OTHER CAUSE.

______________________________________       _______       _________________        ____________________

Print Name                                                   Age            Date of Birth          Phone

________________________________     _______________________       _________________

Signature                                                       Address                                    City, State  Zip

D.L # ___________________________

___________________________________________       _________________________________

Signature or Parent/Guardian (if less than 18 yrs)           E-mail

____________________________                                     _________________________________

Date                                                                                     Emergency Contact (name/phone)