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WAIVER & RELEASE OF LIABILITY

*READ BEFORE SIGNING*

SoftAirNJ, DED USA LLC, Cousins Paintball, as well as any related business entities, hereinafter called Operator, agree to allow Participant to use the designated facilities of Operator for the purpose of conducting and participating in Paintball and/or Airsoft games. In Consideration of Operator furnishing services and/or equipment to enable me to participate in paintball and/or Airsoft games, I agree as follows:

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 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 the Operator; the negligence of the participants, the negligence of others, accident, breaches of contract, the forces of nature of 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 Operator, 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 it’s owners, agents, officers and employees from 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 Operator.

I hereby grant SoftAirNJ, DED USA LLC, as well as any related business entities, hereinafter called Operator, permission to use my likeness in a photograph, video, or other digital media (“photo”) in any and all of its publications, including web-based publications, without payment or other consideration.

First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Information
DO YOU NEED RENTAL EQUIPMENT (IF YES, PLEASE HAVE LICENSE OR CREDIT CARD READY AT TIME OF EVENT CHECK IN)*
No
Yes
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

Last Name*
Second Participant's Date of Birth*
Second Participant's Information
DO YOU NEED RENTAL EQUIPMENT (IF YES, PLEASE HAVE LICENSE OR CREDIT CARD READY AT TIME OF EVENT CHECK IN)*
No
Yes
Third Participant's Name

First Name*

Middle Name

Last Name*
Third Participant's Date of Birth*
Third Participant's Information
DO YOU NEED RENTAL EQUIPMENT (IF YES, PLEASE HAVE LICENSE OR CREDIT CARD READY AT TIME OF EVENT CHECK IN)*
No
Yes
Fourth Participant's Name

First Name*

Middle Name

Last Name*
Fourth Participant's Date of Birth*
Fourth Participant's Information
DO YOU NEED RENTAL EQUIPMENT (IF YES, PLEASE HAVE LICENSE OR CREDIT CARD READY AT TIME OF EVENT CHECK IN)*
No
Yes
Fifth Participant's Name

First Name*

Middle Name

Last Name*
Fifth Participant's Date of Birth*
Fifth Participant's Information
DO YOU NEED RENTAL EQUIPMENT (IF YES, PLEASE HAVE LICENSE OR CREDIT CARD READY AT TIME OF EVENT CHECK IN)*
No
Yes
Sixth Participant's Name

First Name*

Middle Name

Last Name*
Sixth Participant's Date of Birth*
Sixth Participant's Information
DO YOU NEED RENTAL EQUIPMENT (IF YES, PLEASE HAVE LICENSE OR CREDIT CARD READY AT TIME OF EVENT CHECK IN)*
No
Yes
Seventh Participant's Name

First Name*

Middle Name

Last Name*
Seventh Participant's Date of Birth*
Seventh Participant's Information
DO YOU NEED RENTAL EQUIPMENT (IF YES, PLEASE HAVE LICENSE OR CREDIT CARD READY AT TIME OF EVENT CHECK IN)*
No
Yes
Eighth Participant's Name

First Name*

Middle Name

Last Name*
Eighth Participant's Date of Birth*
Eighth Participant's Information
DO YOU NEED RENTAL EQUIPMENT (IF YES, PLEASE HAVE LICENSE OR CREDIT CARD READY AT TIME OF EVENT CHECK IN)*
No
Yes
Ninth Participant's Name

First Name*

Middle Name

Last Name*
Ninth Participant's Date of Birth*
Ninth Participant's Information
DO YOU NEED RENTAL EQUIPMENT (IF YES, PLEASE HAVE LICENSE OR CREDIT CARD READY AT TIME OF EVENT CHECK IN)*
No
Yes
Tenth Participant's Name

First Name*

Middle Name

Last Name*
Tenth Participant's Date of Birth*
Tenth Participant's Information
DO YOU NEED RENTAL EQUIPMENT (IF YES, PLEASE HAVE LICENSE OR CREDIT CARD READY AT TIME OF EVENT CHECK IN)*
No
Yes
Participant'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 SoftAirNJ Event information, news, and discounts by e-mail.
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
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*

Middle Name

Last Name*

Relationship*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Information
DO YOU NEED RENTAL EQUIPMENT (IF YES, PLEASE HAVE LICENSE OR CREDIT CARD READY AT TIME OF EVENT CHECK IN)*
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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