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INDOOR EXTREME SPORTS SI , LLC WAIVER AND RELEASE OF LIABILITY

In consideration of Indoor Extreme SportsSI LLC , herein referred to as IES, furnishing services and /or equipment to enable me to participate in Paintball/ReBall, Laser Tag games, Virtual Reality, and or ArcheryTag,I agree as follows:

I fully understand and acknowledge that; (a) risks and dangers exist in my use of Paintball, Laser Tag,, ArcheryTag, and or Virtual Reality equipment and my participation in any of the described activities herein;
(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 IES ; 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 IES, 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 IES 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 equipment or my participation in any of the activities described herein. 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 IES.

Furthermore I hereby give IESI. the absolute and irrevocable right and permission with respect to the photographs/videos that he/she has taken of myself or my minor child in which he/she may be included with others:

a) To copyright the same in the IES’s name or any other name that we may select;
b) To use, re-use, publish and re-publish the same in whole or in part, separately or in conjunction with other photographs, in any medium now or hereafter known, and for any purpose whatsoever, including (but not by way of limitation) illustration, promotion, advertising and trade, and the Internet and;

I hereby release and discharge IES from all and any claims and demands ensuing from or in connection with the use of the photographs/videos, including any and all claims for libel and invasion of privacy.This authorization and release shall inure to the benefit of the legal representatives, licensees and assigns of IES as well as the person(s) for whom he/she took the photographs.

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

Today's Date: December 11, 2018

First Participant's Name

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

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

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

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

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

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

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

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

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

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

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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.
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Parent or Guardian's Date of Birth*
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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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