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Release from Liability Agreement for Paintball and Bazooka Ball

This agreement is entered into between Camp Allendale and the undersigned participant with respect to participation at the paintball and bazooka ball facilities operated by Camp Allendale. In consideration of the use of the field and facilities owned by Camp Allendale, participant agrees as follows:

  1. Participant waives any cause of action against Camp Allendale and its owners, agents and employees, which might arise from any failure of equipment that is used in this activity.
  2. In the event a third party (or parties) is injured in any occurrence in which the undersigned participates, the undersigned shall indemnify, defend and hold harmless Camp Allendale, its affiliates, its owners, agents, and employees, from ALL costs and expenses which arise from claims by such injured parties.
  3. Participant authorizes any medical treatment deemed necessary in the event of any injury while participating in paintball (or bazooka ball) activities. It is the responsibility of participant to carry full and complete insurance coverage for personal bodily injury and personal property damage to participant and any other individuals who may be injured resulting from paintball activities (or, in its absence, agree to pay all costs of rescue and/or medical services that may be incurred on behalf of the participant).
  4. Participant understands and accepts that paintball (or bazooka ball), is a hazardous sport and has many dangers and risks, which include serious bodily injury or death. Participant hereby agrees to freely and expressly assume and accept any and all risks of injury.
  5. Participant represents that he/she is physically fit and adequately trained to safely participate in this physically demanding activity, and that he/she does not suffer from any injury, defect, ailment, illness or the like which could conceivably lead to injury or death from participation in this activity.
  6. Camp Allendale 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 Camp Allendale 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 Camp Allendale, its owners, affiliates, agents or employees or any other person at Camp Allendale. Camp Allendale shall not be liable for the loss or theft of, or damage to, the personal property of any participant, member, guest or patron.
  7. Participant agrees to follow all rules and regulations as stated by the Camp Allendale Facilitator. Anyone who violates the rules and regulations will be removed from the activity.


Group Information

Attending Camp Allendale with which Group? *

Date(s) Your Group will be at Camp Allendale *
First Participant's Name

First Name*

Middle Name

Last Name*

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

First Name*

Middle Name

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

Insurance Carrier*

Insurance Policy Number*
Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
Parent or Guardian's Email Address

Email*

Confirm Email*
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.


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*

Relationship*

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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