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Industry Insurance Programs

www.nsera.com/paintball

LVPP.net LLC = LVPP

Phone: (702) 574-2066

National Sports Entertainment & Recreation Association

 

RELEASE OF LIABILITY, INDEMNITY AND ASSUMPTION OF RISK

READ BEFORE SIGNING

IN CONSIDERATION of being permitted to participate in any Paintball and/or Airsoft activities including, but not limited to, playing, using the premises of, renting and operating equipment leased, sanctioned and/or operated by the above named vendor, I acknowledge and agree that:

I fully understand and acknowledge that; (a) risks and dangers exist in my use of Paintball and/or .Airsoft equipment and my participation in Paintball and/or Airsoft 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 LVPP; 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 LVPP, 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 LVPP 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 and/or Airsoft equipment or my participation in Paintball and/or Airsoft 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 LVPP. This waiver is good through 3/8/2019.

MEDICAL PERMISSION AUTHORIZATION

If the participant is of minority age, the undersigned parent or guardian hereby gives permission for LVPP to authorize emergency medical treatment as may be deemed necessary for the child named below while participating in Paintball and/or Airsoft games.

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

PAINTBALL
PLAYER SAFETY RULES

All players must read and agree to follow all player safety rules, field safety guidelines, and sign the waiver of liability and hold harmless agreement prior to participating in any paintball activities without exception. Any violation of the safety rules will result in mandatory ejection from the field and/or premises.

  1. SAFETY GOGGLES must be worn by anyone in the playing field and target range at all times. Only Goggles specifically approved for paintball that provide full face and ear protection are allowed. Modifications are strictly prohibited.
  2. NO SHOOTING in any areas other than the designated playing field and/or target range. No shooting into or out of the registration area, neutral zones or parking area. Markers may only be discharged on the active field of play or target range.
  3. JUDGES DECISIONS ARE FINAL and players or spectators will not be allowed to argue with the referees under any circumstances.
  4. BARREL BLOCKING DEVICES must be in at all times anywhere on the property other than the designated playing field and target range. Barrel blocking devices must be specifically designed and manufactured for paintball markers.
  5. NO BLIND SHOOTING
  6. NO SHOOTING at wildlife, airplanes, automobiles, parachutists, etc.
  7. NO CLIMBING of trees, vehicles, or any structure 4’ or higher. Castles, forts, or towers must be clearly marked in the field of play and meet our safety guidelines.
  8. NO PHYSICAL CONTACT
  9. NO CONSTRUCTION OF BOOBY TRAPS
  10. NO ALCOHOL OR ILLEGAL DRUGS are allowed on the premises. Anyone engaging in these activities or who is impaired will be ejected from the field. Repeat violators will be banned from the facility permanently.
  11. NO VERBAL ABUSE profanity, name-calling, or slurs against anyone’s race, religion, or family members and friends will be tolerated.
  12. NO SMOKING except in designated areas approved by the field operator.
  13. NO UNAUTHORIZED EQUIPMENT or potentially dangerous gear is allowed. All firearms, knives, machetes, etc. are prohibited. The field operator must approve all equipment allowed on the premises.
  14. MODIFICATIONS ARE PROHIBITED Players are not allowed to modify safety goggles, rental markers, bunkers, or any property on the premises.
  15. SPECTATORS are required to wear safety goggles unless they remain a minimum of five feet behind the safety netting at all times. No exceptions.
  16. TANK-FILLS players are not allowed to perform tank-fills (no exceptions).

AIRSOFT
PLAYER SAFETY RULES

All players must read and agree to follow all player safety rules, field safety guidelines, and sign the waiver of liability and hold harmless agreement prior to participating in any airsoft activities without exception. Any violation of the safety rules will result in mandatory ejection from the field and/or premises.

  1. SAFETY GOGGLES must be worn by anyone in the playing field and target range at all times. Only Goggles specifically approved for paintball that provide full face and ear protection are allowed. Modifications are strictly prohibited.
  2. NO SHOOTING in any areas other than the designated playing field and/or target range. No shooting into or out of the registration area, neutral zones or parking area. Markers may only be discharged on the active field of play or target range.
  3. JUDGES' DECISIONS ARE FINAL and players or spectators will not be allowed to argue with the referees under any circumstances.
  4. BARREL BLOCKING DEVICES must be in at all times anywhere on the property other than the designated playing field and target range. Barrel blocking devices must be specifically designed and manufactured for airsoft markers.
  5. NO BLIND SHOOTING
  6. NO SHOOTING at wildlife, airplanes, automobiles, parachutists, etc.
  7. NO CLIMBING of trees, vehicles, or any structure 4' or higher. Castles, forts, or towers must be clearly marked in the field of play and meet our safety guidelines.
  8. NO PHYSICAL CONTACT
  9. NO CONSTRUCTION OF BOOBY TRAPS 
  10. NO ALCOHOL OR ILLEGAL DRUGS are allowed on the premises. Anyone engaging in these activities or who is impaired will be ejected from the field. Repeat violators will be banned from the facility permanently.
  11. NO VERBAL ABUSE, profanity, name-calling, or slurs against anyone's race, religion, or family members and friends will be tolerated.
  12. NO SMOKING except in designated areas approved by the field operator.
  13. NO UNAUTHORIZED EQUIPMENT or potentially dangerous gear is allowed. All firearms, knives, machetes, etc. are prohibited. The field operator must approve all equipment allowed on the premises.
  14. MODIFICATIONS ARE PROHIBITED. Players are not allowed to modify safety goggles, rental markers, bunkers, or any property on the premises.
  15. SPECTATORS are required to wear safety goggles unless they remain in a designated spectator area at all times. No exceptions.

Dated: December 11, 2018

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
Parent or Guardian's Driver's License / ID Card

Driver's License / ID Card Number*

Issuing State*
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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