Loading...

PAINTBALL & AIRSOFT RELEASE OF LIABILITY, INDEMNITY AND ASSUMPTION OF RISK

READ BEFORE SIGNING

NOTE: THIS FORM MUST BE READ AND SIGNED BEFORE THE PARTICIPANT IS ALLOWED TO TAKE PART IN ANY PAINTBALL EVENT


In consideration of being permitted to participate in any paintball, airsoft and/or gellyball activites or any additional events and activities including, but not limited to, playing, using the premises of, renting and operating equipment leased, sanctioned and/or operated by the above named AJV Investments, LLC DBA Delta Field Paintball , I acknowledge and agree that: 

I fully understand and acknowledge that; 

  1. The risk and dangers exist in my use of Paintball, Airsoft and/or Gellyball equipment and my participation in Paintball, Airsoft and/or Gellyball activities; of injury from the activity and weaponry involved in paintball is significant, along with the risk of transportation and any transportation to and from such activities and the risk of other participants 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. My participation in such activites 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.
  3. These risks and dangers may be caused by the negligence of the owners, employees, officers or agents of DFP;  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; I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN ARISING FROM THE NEGLIGENCE of those persons released from liability below, and assume full responsibility for my participation; and,
  4. 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 DFP, or by any other person.
  5. I understand that the activities of paintball are physically and mentally intense. I understand the rules of play and will comply with all the rules and regulations. If I observe any unusual or unnecessary hazard during my participation, I will bring such to the attention of the nearest official as soon as practical; and,
  6. I, for myself and on behalf of my heirs, assigns, personal representatives, and next of kin, hereby voluntarily agree to HEREBY RELEASE, WAIVE, DISCHARGE, HOLD HARMLESS, DEFEND AND INDEMNIFY DELTA FIELD PAINTBALL, AJV INVESTMENTS LLC, OR DELTA FIELD PARTNERS, the owners, agents, officers, employees from any and all claims, actions or losses for bodily injury, property damage (including but not limited to, arising out of the actual or alleged transmission of a communicable disease), wrongful death, loss of services or otherwise which may arise out of my use of Paintball, Airsoft and/or Gellyball equipment or my participation in Paintball, Airsoft and/or Gellyball activities.
  7. I understand and agree that this Release of Liability covers each and every paintball activity or spectator and even in which I participate hereafter. I am in good health and am at or above the minimum age stated in the Releasees brochure for this activity. I understand that strenuous physical exertion may be required and I have no known physical disabilities or health problems which present any risk to my participation in this activity. I permit the use of any photos, slides, or films of myself taken during a day’s activities for publicity, advertising, promotion, or other commercial purpose. Any claims or disputes arising from my participation in Releasees activities or use of Releasees equipment shall be venued in the Hidalgo County Supreme Court of the State of Texas.

I specifically undestand 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 Delta Field Paintball.

This waiver is good through 7/31/2024.

MEDICAL PERMISSION AUTHORIZATION

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

I HAVE READ THIS WAIVER AND RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT AND BY SIGNING IT AGREE IT IS MY INTENTION TO EXEMPT AND RELIEVE DELTA FIELD PAINTBALL FOR PERSONAL INJURY, PROPERTY DAMAGE, OR WRONGFUL DEATH CAUSED BY NEGLIGENCE OR ANY OTHER CAUSE.  I FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT INDUCEMENT. I AGREE TO ABIDE BY ALL THE RULES OF THE PAINTBALL ORIENTATION AND WILL NOT PLAY UNTIL I HAVE HEARD AND UNDERSTOOD THE ORIENTATION.


Date Signed: November 4, 2024

Delta Field Paintball Rules & Regulations

By tendering this application, the participant agrees to abide by all Rules and Regulations provided below now in effect or later modified, recognizing that any violation may subject him/her to expulsion from Delta Field Paintball. 

  1. Participants must wear face masks at ALL TIMES when in shooting zones.
  2.  
  3. When in the lobby, guns must be plugged.
  4.  
  5. Abuse of equipment will not be tolerated.
  6.  
  7. Loud or abusive language is not permitted
  8.  
  9. Alcoholic beverages, illegal drugs or smoking are not permitted at any time on the property.
  10.  
  11. Full required protective gear and shoes must be worn at all times in the playing field area.
  12.  
  13. Participant/member agrees not to create any nuisance, disturbance or harass or threaten other participants, members, guests, or personnel or commit acts of moral turpitude or fraud while using the field or its facilities.
  14.  
  15. ANYONE WHO VIOLATES THESE RULES AND REGULATIONS IS SUBJECT TO EXPULSION FROM THE FIELD WITH NO REFUND OF ANY FEES.

TERMS AND CONDITIONS

These Rules and Regulations may be modified from time to time in the sole discretion of Delta Field Paintball. Changes in activity rates, schedules, and hours of operation may also be made at any time, without notice, at the sole discretion of Delta Field Paintball.

WAIVER OF LIABILITY

Participants, members, guests, or patrons shall participate in paintball activities at his/her own risk. Delta Field Paintball shall not be liable for any damages for personal injuries sustained by any participant, member, guest, or patron in, on, or about the premises of Delta Field Paintball from any and all claims, demands, or causes of action, including, without limitation, any claim for personal injuries arising out of the use of its facilities, services, or equipment or arising out of the negligence of Delta Field Paintball, its owners, affiliates, agents or employees or any other person at Delta Field Paintball.

PERSONAL PROPERTY AND VALUABLES

Delta Field Paintball shall not be liable for the loss or theft of, or damage to, the personal property of any participant, member, guest or patron.

SIGN-IN PROCEDURE

Participants are required to present this signed Release at the front desk. Payment for paintball is required prior to the beginning of the session.


First Person Filling Out Waiver Name

First Name*

Middle Name

Last Name*

Phone*
First Person Filling Out Waiver Date of Birth*
First Person Filling Out Waiver Information

COVID-19 SCREENING QUESTIONNAIRE

IF YOU ANSWERED YES TO ANY OF THE QUESTIONS BELOW, PLEASE STAY AT HOME AND REFRAIN FROM JOINING US AT THE PARK.  WE WILL BE OPEN IN THE FUTURE AND LOOK FORWARD TO YOU VISITING WHEN YOU FEEL BETTER!

1) Have you traveled to or from a high-risk area in the past 14 days?*
No
Yes
2) Have you had any contact with someone who has had a suspected or confirmed case of coronavirus disease (COVID-19)?*
No
Yes
3) Do you have a cough more than usual or shortness of breath?*
No
Yes
4) Have you had a fever in the past 7 days (greater than 100.4F)?*
No
Yes

I hereby attest that I answered NO to all the questions above.

First Person Filling Out Waiver Signature*
Second Person Filling Out Waiver Name

First Name*

Middle Name

Last Name*

Phone*
Second Person Filling Out Waiver Date of Birth*
Second Person Filling Out Waiver Information

COVID-19 SCREENING QUESTIONNAIRE

IF YOU ANSWERED YES TO ANY OF THE QUESTIONS BELOW, PLEASE STAY AT HOME AND REFRAIN FROM JOINING US AT THE PARK.  WE WILL BE OPEN IN THE FUTURE AND LOOK FORWARD TO YOU VISITING WHEN YOU FEEL BETTER!

1) Have you traveled to or from a high-risk area in the past 14 days?*
No
Yes
2) Have you had any contact with someone who has had a suspected or confirmed case of coronavirus disease (COVID-19)?*
No
Yes
3) Do you have a cough more than usual or shortness of breath?*
No
Yes
4) Have you had a fever in the past 7 days (greater than 100.4F)?*
No
Yes

I hereby attest that I answered NO to all the questions above.

Third Person Filling Out Waiver Name

First Name*

Middle Name

Last Name*

Phone*
Third Person Filling Out Waiver Date of Birth*
Third Person Filling Out Waiver Information

COVID-19 SCREENING QUESTIONNAIRE

IF YOU ANSWERED YES TO ANY OF THE QUESTIONS BELOW, PLEASE STAY AT HOME AND REFRAIN FROM JOINING US AT THE PARK.  WE WILL BE OPEN IN THE FUTURE AND LOOK FORWARD TO YOU VISITING WHEN YOU FEEL BETTER!

1) Have you traveled to or from a high-risk area in the past 14 days?*
No
Yes
2) Have you had any contact with someone who has had a suspected or confirmed case of coronavirus disease (COVID-19)?*
No
Yes
3) Do you have a cough more than usual or shortness of breath?*
No
Yes
4) Have you had a fever in the past 7 days (greater than 100.4F)?*
No
Yes

I hereby attest that I answered NO to all the questions above.

Fourth Person Filling Out Waiver Name

First Name*

Middle Name

Last Name*

Phone*
Fourth Person Filling Out Waiver Date of Birth*
Fourth Person Filling Out Waiver Information

COVID-19 SCREENING QUESTIONNAIRE

IF YOU ANSWERED YES TO ANY OF THE QUESTIONS BELOW, PLEASE STAY AT HOME AND REFRAIN FROM JOINING US AT THE PARK.  WE WILL BE OPEN IN THE FUTURE AND LOOK FORWARD TO YOU VISITING WHEN YOU FEEL BETTER!

1) Have you traveled to or from a high-risk area in the past 14 days?*
No
Yes
2) Have you had any contact with someone who has had a suspected or confirmed case of coronavirus disease (COVID-19)?*
No
Yes
3) Do you have a cough more than usual or shortness of breath?*
No
Yes
4) Have you had a fever in the past 7 days (greater than 100.4F)?*
No
Yes

I hereby attest that I answered NO to all the questions above.

Fifth Person Filling Out Waiver Name

First Name*

Middle Name

Last Name*

Phone*
Fifth Person Filling Out Waiver Date of Birth*
Fifth Person Filling Out Waiver Information

COVID-19 SCREENING QUESTIONNAIRE

IF YOU ANSWERED YES TO ANY OF THE QUESTIONS BELOW, PLEASE STAY AT HOME AND REFRAIN FROM JOINING US AT THE PARK.  WE WILL BE OPEN IN THE FUTURE AND LOOK FORWARD TO YOU VISITING WHEN YOU FEEL BETTER!

1) Have you traveled to or from a high-risk area in the past 14 days?*
No
Yes
2) Have you had any contact with someone who has had a suspected or confirmed case of coronavirus disease (COVID-19)?*
No
Yes
3) Do you have a cough more than usual or shortness of breath?*
No
Yes
4) Have you had a fever in the past 7 days (greater than 100.4F)?*
No
Yes

I hereby attest that I answered NO to all the questions above.

Sixth Person Filling Out Waiver Name

First Name*

Middle Name

Last Name*

Phone*
Sixth Person Filling Out Waiver Date of Birth*
Sixth Person Filling Out Waiver Information

COVID-19 SCREENING QUESTIONNAIRE

IF YOU ANSWERED YES TO ANY OF THE QUESTIONS BELOW, PLEASE STAY AT HOME AND REFRAIN FROM JOINING US AT THE PARK.  WE WILL BE OPEN IN THE FUTURE AND LOOK FORWARD TO YOU VISITING WHEN YOU FEEL BETTER!

1) Have you traveled to or from a high-risk area in the past 14 days?*
No
Yes
2) Have you had any contact with someone who has had a suspected or confirmed case of coronavirus disease (COVID-19)?*
No
Yes
3) Do you have a cough more than usual or shortness of breath?*
No
Yes
4) Have you had a fever in the past 7 days (greater than 100.4F)?*
No
Yes

I hereby attest that I answered NO to all the questions above.

Seventh Person Filling Out Waiver Name

First Name*

Middle Name

Last Name*

Phone*
Seventh Person Filling Out Waiver Date of Birth*
Seventh Person Filling Out Waiver Information

COVID-19 SCREENING QUESTIONNAIRE

IF YOU ANSWERED YES TO ANY OF THE QUESTIONS BELOW, PLEASE STAY AT HOME AND REFRAIN FROM JOINING US AT THE PARK.  WE WILL BE OPEN IN THE FUTURE AND LOOK FORWARD TO YOU VISITING WHEN YOU FEEL BETTER!

1) Have you traveled to or from a high-risk area in the past 14 days?*
No
Yes
2) Have you had any contact with someone who has had a suspected or confirmed case of coronavirus disease (COVID-19)?*
No
Yes
3) Do you have a cough more than usual or shortness of breath?*
No
Yes
4) Have you had a fever in the past 7 days (greater than 100.4F)?*
No
Yes

I hereby attest that I answered NO to all the questions above.

Eighth Person Filling Out Waiver Name

First Name*

Middle Name

Last Name*

Phone*
Eighth Person Filling Out Waiver Date of Birth*
Eighth Person Filling Out Waiver Information

COVID-19 SCREENING QUESTIONNAIRE

IF YOU ANSWERED YES TO ANY OF THE QUESTIONS BELOW, PLEASE STAY AT HOME AND REFRAIN FROM JOINING US AT THE PARK.  WE WILL BE OPEN IN THE FUTURE AND LOOK FORWARD TO YOU VISITING WHEN YOU FEEL BETTER!

1) Have you traveled to or from a high-risk area in the past 14 days?*
No
Yes
2) Have you had any contact with someone who has had a suspected or confirmed case of coronavirus disease (COVID-19)?*
No
Yes
3) Do you have a cough more than usual or shortness of breath?*
No
Yes
4) Have you had a fever in the past 7 days (greater than 100.4F)?*
No
Yes

I hereby attest that I answered NO to all the questions above.

Ninth Person Filling Out Waiver Name

First Name*

Middle Name

Last Name*

Phone*
Ninth Person Filling Out Waiver Date of Birth*
Ninth Person Filling Out Waiver Information

COVID-19 SCREENING QUESTIONNAIRE

IF YOU ANSWERED YES TO ANY OF THE QUESTIONS BELOW, PLEASE STAY AT HOME AND REFRAIN FROM JOINING US AT THE PARK.  WE WILL BE OPEN IN THE FUTURE AND LOOK FORWARD TO YOU VISITING WHEN YOU FEEL BETTER!

1) Have you traveled to or from a high-risk area in the past 14 days?*
No
Yes
2) Have you had any contact with someone who has had a suspected or confirmed case of coronavirus disease (COVID-19)?*
No
Yes
3) Do you have a cough more than usual or shortness of breath?*
No
Yes
4) Have you had a fever in the past 7 days (greater than 100.4F)?*
No
Yes

I hereby attest that I answered NO to all the questions above.

Tenth Person Filling Out Waiver Name

First Name*

Middle Name

Last Name*

Phone*
Tenth Person Filling Out Waiver Date of Birth*
Tenth Person Filling Out Waiver Information

COVID-19 SCREENING QUESTIONNAIRE

IF YOU ANSWERED YES TO ANY OF THE QUESTIONS BELOW, PLEASE STAY AT HOME AND REFRAIN FROM JOINING US AT THE PARK.  WE WILL BE OPEN IN THE FUTURE AND LOOK FORWARD TO YOU VISITING WHEN YOU FEEL BETTER!

1) Have you traveled to or from a high-risk area in the past 14 days?*
No
Yes
2) Have you had any contact with someone who has had a suspected or confirmed case of coronavirus disease (COVID-19)?*
No
Yes
3) Do you have a cough more than usual or shortness of breath?*
No
Yes
4) Have you had a fever in the past 7 days (greater than 100.4F)?*
No
Yes

I hereby attest that I answered NO to all the questions above.

Person Filling Out Waiver 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 information, news, and discounts by e-mail.
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
--- POLICIES REGARDING CHILD/REN DROP OFF & GUARDIAN LEAVING --- All parents wishing to drop off minors will be required to sign an additional assumption of risk agreement at field releasing Delta Field Paintball of any liabilities for leaving child unattended. No child under the age of 13 may be left unattended or unsupervised.
I hereby release and hold harmless Delta Field Paintball, LLC and all persons acting on their behalf of business for my unattended minor. Delta Field Paintball will not be responsible for issues that arise from leaving a minor child unattended and without proper hydration or nutrition. Delta Field Paintball is not responsible for behavioral problems, health and risks, or if minor is not following safety rules or being continuously disruptive, the adult will be immediately notified by phone to pick-up their child without refund.*
Yes
No
This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree not only to his/her release of DELTA FIELD PAINTBALL and all other Releasees but also 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.


By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Middle Name

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information

COVID-19 SCREENING QUESTIONNAIRE

IF YOU ANSWERED YES TO ANY OF THE QUESTIONS BELOW, PLEASE STAY AT HOME AND REFRAIN FROM JOINING US AT THE PARK.  WE WILL BE OPEN IN THE FUTURE AND LOOK FORWARD TO YOU VISITING WHEN YOU FEEL BETTER!

1) Have you traveled to or from a high-risk area in the past 14 days?*
No
Yes
2) Have you had any contact with someone who has had a suspected or confirmed case of coronavirus disease (COVID-19)?*
No
Yes
3) Do you have a cough more than usual or shortness of breath?*
No
Yes
4) Have you had a fever in the past 7 days (greater than 100.4F)?*
No
Yes

I hereby attest that I answered NO to all the questions above.

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.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver - TRY IT FREE!