PRINT PLEASE

NAME:____________________________________

ADDRESS:_________________________________

CITY:________________________ STATE:______

DATE:______________________ ZIP:___________

AGE:______________________________________

PHONE NUMBER:__________________________

I am completely aware of all risk, involved and that there is the possibility of additional risk if paintball gun or other equipment does not function properly. I also indemnify the lessor and employees against and shall hold both harmless from any and all claims, actions, suits, procedures, costs, expenses, damages and liabilities, including attorney’s fees arising out of, connected with or resulting from playing Paintball and/or the equipment, including without limitation, the manufacturer, selection, delivery, possession, use operation of the equipment and the environment. I nevertheless wish to assume any and all risks. I hereby waive and release the lessor on behalf of my estate and all others who may play Paintball with me. I also undertake to always play Paintball only in accordance with the safety instructions, rules and suggestions presented to me. Knowing full well the intense physical/mental exertion would cause me or others harm. I have read and fully understanding the terms of this lease agreement. THIS IS FULLY INTENDED TO BE A LEGALLY BINDING CONTRACT. IF YOU HAVE NY DOUBTS CONCERNING ANY ASPECTS OF ITS CONTENTS, CONSULT AN ATTORNEY BEFORE SIGNING IT.