Elma Paintball Waiver
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 ECP=ECP         Phone: TOLL FREE 1-866-525-2877

PAINTBALLBUSINESS ASSOCIATION   - INDUSTRY INSURANCE PROGRAMS

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WAIVER AND RELEASE OF LIABILITY

    In consideration of ECP 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 pa ralysis, 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 ECP; the negligence of the pa rticipants, 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 equipmen t, 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 ECP, 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 ECP and it’s owners, agents, officers and employees from any and all claims, actions or losses for bodily injury, pr operty 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 tha t I may have presently or in the future for the negligent acts or other conduct by the owners, agents, officers or employees of ECP. This waiver is good till 02/02/2012.

I HAVE READ THE ABOVE WAIVER AND RELEASE AND BY SIGNING IT AGREE IT IS MY INTENTION TO EXEMPT AND RELIEVE ECPFROM LIABILITY FOR PERSONAL INJURY, PROPERTY DAMAGE OR WRONGFUL DEATH CAUSED BY NEGLIGENCE OR ANY OTHER CAUSE.


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Print Name            Age        Date of Birth        Phone


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Signature                Address    City, State Zip


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Signature of Parent/Guardian         (if under 18 years old)              DATE

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E-mail WE WILL E-MAIL YOU FREE ACTION PHOTOS OF YOUR GROUP & DISCOUNT PASSES        

---------------------------------------------OFFICE USE ONLY BELOW THIS LINE-------------------------------------------------

BASIC PACKAGE $_____    UPGRADE PACKAGE $______ -ITEMS__________________________________

MASK S / U $______    HP / CO2 TANK $______MARKER S / U $______     LOADER S / U $______

OTHER RENTAL ITEMS ____________________________________________________________________

OWN GEAR:( INSPECTED ) MASK____    GUN_____    TANK _____    BBD_____

PLAYER HAS COMPLETED: INSPECTION____ WAIVER____ WRISTBAND____ PAID____ SAFETY____

AIR:PER FILL / ALL DAY AIR PASS     PAINT:BYOP / FIELD ARM BAND & ?? RETURNED

COMMENTS:______________________________________________________

CHEKED IN BY______________