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WAIVER AND RELEASE OF LIABILITY
In consideration of DZES
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 DZES.; 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
negligence or other conduct of the owners, agents, officers, employees of DZES,
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 DZES 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 DZES.
I
HAVE READ THE ABOVE WAIVER AND RELEASE AND BY SIGNING IT AGREE IT IS MY
INTENTION TO EXEMPT AND RELIEVE DZES FROM LIABILITY FOR PERSONAL INJURY,
PROPERTY DAMAGE OR WRONGFUL DEATH CAUSED BY NEGLIGENCE OR ANY OTHER CAUSE.
____________________________ _____ ____________ ________________
Print Name Age
Birth Date Today’s
Date
____________________________ ________________________________
Address Phone Number w/ Area
Code
____________________________ ____________ __________
City State Zip Code
____________________________ ____________________________________
Signature (of parent or E-mail Address
Guardian if under 18yrs old)
Revised July 14, 2005