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YOU MUST BE 18 TO USE THIS WAIVER. IF UNDER 18 YOU NEED A PARENT TO FILL OUT THE WAIVER FOR YOU!

WAIVER AND RELEASE OF LIABILITY

This waiver is valid for one year from the date signed. 

THIS IS A LIABILITY FOR GELLYBALL - PLEASE READ IT BEFORE SIGNING. THIS FORM MUST BE

READ AND SIGNED BEFORE THE PARTICIPANT IS ALLOWED TO TAKE PART IN ANY Gel Blasting

RELATED ACTIVITY AND/OR FOR NON-PARTICIPANTS WISHING TO ENTER INTO AREAS DESIGNATED FOR Gel Blasting USE. 

IN CONSIDERATION of being permitted to participate in any way in the sport and activities of Gel Blasting with A.L.L. 4 Them LLC DBA Hondo GellyBall is hereinafter known as Gellyball, I acknowledge, appreciate, and agree that:

1. The risk of injury from the activity and equipment involved in Gel Blasting is significant, 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. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE of those persons released from liability below, and assume full responsibility for my participation;

3. I understand that the activities of Gel Blasting are physically, emotionally, and mentally intense. I understand the rules of play and will comply with all 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.

4. I, for myself and on behalf of my heirs, assigns, personal representatives, and next of kin, HEREBY RELEASE AND HOLD HARMLESS FROM LIABILITY Gellyball, A.L.L. 4 Them LLC DBA Hondo GellyBall, the owners, and lessors of premises used to conduct the Gel Blasting activities, their officers, officials, agents and/or employees (“Release”), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH or loss of damage to person or property, WHETHER CAUSED BY NEGLIGENCE OF THE RELEASEES OR OTHERWISE, except that which is the result of gross negligence and /or wanton misconduct.

5. I understand and agree that this Release of Liability Agreement covers each and every Gel Blasting activity (including the Gell Blasting shooting gallery) and event in which I participate hereafter.

6. I acknowledge that during the course of using the overall equipment, my photograph may be taken by the Releases or an agent or designee of the Releases. I knowingly understand and give consent to any photograph or filmed image taken of me participating in any activity within the facility and said photographs or film shall become the property of the Releasees or any of its designees. The Participant hereby grants the Releasee and/or its agent or designee permission to use any such photographs or films of him/her for use in materials promoting the Releasees. Such use may include publication in the local newspaper, website, brochures, general advertising, and other vehicles that may be distributed to or otherwise seen by large numbers of individuals and potential patrons of the Releasees.


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*
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*
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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