THIS IS A RELEASE OF LIABILITY -- READ BEFORE SIGNING
NOTE: THIS FORM MUST BE READ AND SIGNED BEFORE THE PARTICIPANT IS ALLOWED TO TAKE PART IN
ANY PAINTBALL EVENT.
Participant's Name _________________________ Date of Birth _________________________
In Consideration of being permitted to participate in any way in the sport and activities
of paintball at Paintball of Atlanta, Inc, I acknowledge, appreciate and agree that:
1. The risk of injury from the activity and weaponry involved in paintball is
significant, including the potential for permanent disability and death, and while
particular protective equipment and personal discipline will minimize this risk, the
risk of serious injury does exist,
2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING
FROM THE NEGLIGENCE of those persons released from liability below, and assume full
responsibility for my participation: and,
3. I understand that the activities of paintball are physically and mentally intense. I
understand the rules of play and will comply with all rules and regulations. If I observe
any unusual or unnecessary hazard during my participation, I will bring such to the
attention of the nearest officials as soon as practical: and,
4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of
kin, HERBY RELEASE AND HOLD HARMLESS PAINTBALL OF ATLANTA, INC, the owners and lessors of
premises used to conduct the paintball activities, their officials, agents and/or
employees ("Releases"), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or
damage to person or property, WHETHER CAUSED BY THE NEGLIGENCE OF THE RELEASEES OR
OTHERWISE, except that which is the result of gross negligence and or wanton misconduct.
5. I understand and agree that this Release of Liability Agreement covers each and every
paintball activity and event in which I participate hereafter.
I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND
ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT
FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
X _____________________________________________ Date Signed ________________________
Participant's Signature
Address ________________________________________________________________________________
City, State, Zip _______________________________________________________________________
Emergency Phone Number _________________________________________________________________
FOR PARTICIPANTS OF MINORITY AGE
This is to certify that I, as parent, guardian, temporary guardian with legal
responsibility for this participant, do consent and agree not only to his/her release
of Paintball of Atlanta, Inc, and all other Releasees but also to release and indemnify
the Releasees from any and all liabilities incident to his/her involvement in these
programs for myself, my heirs, assigns, and next of kin.
X _____________________________________________ Date Signed ________________________
Parent/Guardian's Signature
Emergency Phone Number _________________________________________________________________