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GILBERT VIPAirsoftCamp Series Waiver

In consideration of being permitted to utilize the facilities of VIPAirsoft for participation in any of the available camp programs in combination with non-camp specific player waiver,

I AGREE TO:

1. Inform staff immediately, if I have any physical illnesses like asthma, epilepsy, ADD, ADHD, ODD, migraines or or take any medications including injectibles or inhalants.

2. Discharge Gateway Triangle Development LLC, Shea Village, LLC, Mode Commercial Property Management, Marauders Tactical Training, BKB Enterprises LLC,and all staff from all liability arising from personal actions causing injury, damages, or loss from my participation in or observation of airsoft and related activities.

3. Not sue or make claim against Gateway Triangle Development LLC, Shea Village, LLC, Mode Commercial Property Management, Marauders Tactical Training, BKB Enterprises LLC, and staff. I also agree to hold the listed harmless from all claims, judgments, costs, including attorney fees, incurred in connection with the participation or observation of airsoft.

4. I have fully and carefully read this waiver of liability agreement, and I fully understand all its contents and sign it of my own free will for the purposes set forth herein.

I Agree

 

MEDIA RELEASE

I allow BKB Enterprises LLC, Marauders Tactical Training, Phoenix International Security Group and its staff therein to take andutilize any pictures of me and/or my children taken during our stay for promotional advertisements, online media and videos. Please note that any pictures and/or videos taken at our location may be published onto our website and social media accounts.

I Agree

 

-- PLEASE DO NOT PRINT THIS WAIVER --

You do not need to print and bring in your copy of this waiver. We have moved to an electronic waiver as an effort to go green and lessen the amount of printed paper our company produces. Once you submit the waiver, it will immediately update into our electronic system. Electronic submission of this waiver does not guarantee a valid player waiver on file upon arrival. Acceptance of this waiver is subject to the provision of correct and valid information.

VIPAirsoft Arena, BKB Enterprises LLC, Marauders Tactical Training, Triangle Group Development, LLC, Mode Commercial Property Management and all staff therein are not responsible for any incidents, accidents, damages, or injuries should this waiver be fraudulently signed by someone other than the player(s) listed above's parent or legal guardian. Should it be found that a player forged a signature to gain entry into the facility, their waiver will be immediately removed from the system and they will not be allowed back into the facility without the express agreement of a parent and a waiver signed by a parent or legal guardian in witness of a VIPAirsoft staff manager. The signer of this waiver is hereby expressly responsible for any and all liability risks in regards to any and all players listed within this waiver. The signer of this waiver will furthermore be considered as legal guardian to any and all players listed hereinfor the purposes of this liability waiver during the players' stay and any future visits of any and all players listed hereinwhile this waiver remains valid (12 months from signing).

First Camper's Name

First Name*

Last Name*

Phone*
First Camper's Date of Birth*
First Camper's Information
Is the camper under medical care for/have any of the following? *
Epilepsy
Diabetes
Dietary Restrictions
Asthma
Allergies
ADD/ADHD/ODD
Autism Spectrum
Other
None
Is the camper taking any medications?*
No
Yes

If yes, what medication?
Is VIPAirsoft approved to administer minor medications like Ibuprofen to the camper should the need arise?*
No
Yes
May VIPAirsoft use the camper's likeness for promotional purposes regarding the summer camp program including but not limited to Facebook, Pinterest, Instagram, Twitter, advertisements and on our website? (Please note that if "NO" is chosen- we will require the camper to wear a face mask or censor their face for all photos including graduation class photo.)*
No
Yes
First Camper's Signature*
Second Camper's Name

First Name*

Last Name*
Second Camper's Date of Birth*
Second Camper's Information
Is the camper under medical care for/have any of the following? *
Epilepsy
Diabetes
Dietary Restrictions
Asthma
Allergies
ADD/ADHD/ODD
Autism Spectrum
Other
None
Is the camper taking any medications?*
No
Yes

If yes, what medication?
Is VIPAirsoft approved to administer minor medications like Ibuprofen to the camper should the need arise?*
No
Yes
May VIPAirsoft use the camper's likeness for promotional purposes regarding the summer camp program including but not limited to Facebook, Pinterest, Instagram, Twitter, advertisements and on our website? (Please note that if "NO" is chosen- we will require the camper to wear a face mask or censor their face for all photos including graduation class photo.)*
No
Yes
Third Camper's Name

First Name*

Last Name*
Third Camper's Date of Birth*
Third Camper's Information
Is the camper under medical care for/have any of the following? *
Epilepsy
Diabetes
Dietary Restrictions
Asthma
Allergies
ADD/ADHD/ODD
Autism Spectrum
Other
None
Is the camper taking any medications?*
No
Yes

If yes, what medication?
Is VIPAirsoft approved to administer minor medications like Ibuprofen to the camper should the need arise?*
No
Yes
May VIPAirsoft use the camper's likeness for promotional purposes regarding the summer camp program including but not limited to Facebook, Pinterest, Instagram, Twitter, advertisements and on our website? (Please note that if "NO" is chosen- we will require the camper to wear a face mask or censor their face for all photos including graduation class photo.)*
No
Yes
Fourth Camper's Name

First Name*

Last Name*
Fourth Camper's Date of Birth*
Fourth Camper's Information
Is the camper under medical care for/have any of the following? *
Epilepsy
Diabetes
Dietary Restrictions
Asthma
Allergies
ADD/ADHD/ODD
Autism Spectrum
Other
None
Is the camper taking any medications?*
No
Yes

If yes, what medication?
Is VIPAirsoft approved to administer minor medications like Ibuprofen to the camper should the need arise?*
No
Yes
May VIPAirsoft use the camper's likeness for promotional purposes regarding the summer camp program including but not limited to Facebook, Pinterest, Instagram, Twitter, advertisements and on our website? (Please note that if "NO" is chosen- we will require the camper to wear a face mask or censor their face for all photos including graduation class photo.)*
No
Yes
Fifth Camper's Name

First Name*

Last Name*
Fifth Camper's Date of Birth*
Fifth Camper's Information
Is the camper under medical care for/have any of the following? *
Epilepsy
Diabetes
Dietary Restrictions
Asthma
Allergies
ADD/ADHD/ODD
Autism Spectrum
Other
None
Is the camper taking any medications?*
No
Yes

If yes, what medication?
Is VIPAirsoft approved to administer minor medications like Ibuprofen to the camper should the need arise?*
No
Yes
May VIPAirsoft use the camper's likeness for promotional purposes regarding the summer camp program including but not limited to Facebook, Pinterest, Instagram, Twitter, advertisements and on our website? (Please note that if "NO" is chosen- we will require the camper to wear a face mask or censor their face for all photos including graduation class photo.)*
No
Yes
Sixth Camper's Name

First Name*

Last Name*
Sixth Camper's Date of Birth*
Sixth Camper's Information
Is the camper under medical care for/have any of the following? *
Epilepsy
Diabetes
Dietary Restrictions
Asthma
Allergies
ADD/ADHD/ODD
Autism Spectrum
Other
None
Is the camper taking any medications?*
No
Yes

If yes, what medication?
Is VIPAirsoft approved to administer minor medications like Ibuprofen to the camper should the need arise?*
No
Yes
May VIPAirsoft use the camper's likeness for promotional purposes regarding the summer camp program including but not limited to Facebook, Pinterest, Instagram, Twitter, advertisements and on our website? (Please note that if "NO" is chosen- we will require the camper to wear a face mask or censor their face for all photos including graduation class photo.)*
No
Yes
Seventh Camper's Name

First Name*

Last Name*
Seventh Camper's Date of Birth*
Seventh Camper's Information
Is the camper under medical care for/have any of the following? *
Epilepsy
Diabetes
Dietary Restrictions
Asthma
Allergies
ADD/ADHD/ODD
Autism Spectrum
Other
None
Is the camper taking any medications?*
No
Yes

If yes, what medication?
Is VIPAirsoft approved to administer minor medications like Ibuprofen to the camper should the need arise?*
No
Yes
May VIPAirsoft use the camper's likeness for promotional purposes regarding the summer camp program including but not limited to Facebook, Pinterest, Instagram, Twitter, advertisements and on our website? (Please note that if "NO" is chosen- we will require the camper to wear a face mask or censor their face for all photos including graduation class photo.)*
No
Yes
Eighth Camper's Name

First Name*

Last Name*
Eighth Camper's Date of Birth*
Eighth Camper's Information
Is the camper under medical care for/have any of the following? *
Epilepsy
Diabetes
Dietary Restrictions
Asthma
Allergies
ADD/ADHD/ODD
Autism Spectrum
Other
None
Is the camper taking any medications?*
No
Yes

If yes, what medication?
Is VIPAirsoft approved to administer minor medications like Ibuprofen to the camper should the need arise?*
No
Yes
May VIPAirsoft use the camper's likeness for promotional purposes regarding the summer camp program including but not limited to Facebook, Pinterest, Instagram, Twitter, advertisements and on our website? (Please note that if "NO" is chosen- we will require the camper to wear a face mask or censor their face for all photos including graduation class photo.)*
No
Yes
Ninth Camper's Name

First Name*

Last Name*
Ninth Camper's Date of Birth*
Ninth Camper's Information
Is the camper under medical care for/have any of the following? *
Epilepsy
Diabetes
Dietary Restrictions
Asthma
Allergies
ADD/ADHD/ODD
Autism Spectrum
Other
None
Is the camper taking any medications?*
No
Yes

If yes, what medication?
Is VIPAirsoft approved to administer minor medications like Ibuprofen to the camper should the need arise?*
No
Yes
May VIPAirsoft use the camper's likeness for promotional purposes regarding the summer camp program including but not limited to Facebook, Pinterest, Instagram, Twitter, advertisements and on our website? (Please note that if "NO" is chosen- we will require the camper to wear a face mask or censor their face for all photos including graduation class photo.)*
No
Yes
Tenth Camper's Name

First Name*

Last Name*
Tenth Camper's Date of Birth*
Tenth Camper's Information
Is the camper under medical care for/have any of the following? *
Epilepsy
Diabetes
Dietary Restrictions
Asthma
Allergies
ADD/ADHD/ODD
Autism Spectrum
Other
None
Is the camper taking any medications?*
No
Yes

If yes, what medication?
Is VIPAirsoft approved to administer minor medications like Ibuprofen to the camper should the need arise?*
No
Yes
May VIPAirsoft use the camper's likeness for promotional purposes regarding the summer camp program including but not limited to Facebook, Pinterest, Instagram, Twitter, advertisements and on our website? (Please note that if "NO" is chosen- we will require the camper to wear a face mask or censor their face for all photos including graduation class photo.)*
No
Yes
Camper's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive updates and reminders on camp as well as receive a graduation photo
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
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 Information
Is the camper under medical care for/have any of the following? *
Epilepsy
Diabetes
Dietary Restrictions
Asthma
Allergies
ADD/ADHD/ODD
Autism Spectrum
Other
None
Is the camper taking any medications?*
No
Yes

If yes, what medication?
Is VIPAirsoft approved to administer minor medications like Ibuprofen to the camper should the need arise?*
No
Yes
May VIPAirsoft use the camper's likeness for promotional purposes regarding the summer camp program including but not limited to Facebook, Pinterest, Instagram, Twitter, advertisements and on our website? (Please note that if "NO" is chosen- we will require the camper to wear a face mask or censor their face for all photos including graduation class photo.)*
No
Yes
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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