Loading...

IMPORTANT: THIS IS A LEGAL DOCUMENT

SPECIALTY INSURANCE LLC 

Industry Insurance Programs

Ballistic Ben’s Paintball (BBP) | Midway Paintball

Phone: (707) 398-5722 | (707) 399-9400

RELEASE OF LIABILITY, INDEMNITY AND ASSUMPTION OF RISK READ BEFORE SIGNING

   IN CONSIDERATION of being permitted to participate in any Paintball, Airsoft and/or Gellyball/GelBlaster activities including, but not limited to, playing, using the premises of, renting and operating equipment leased, sanctioned and/or operated by the above named vendor, I acknowledge and agree that:

   I fully understand and acknowledge that; (a) risks and dangers exist in my use of Paintball, Airsoft and/or Gellyball/GelBlaster equipment and my participation in Paintball, Airsoft and/or Gellyball/GelBlaster activities; (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 BBP; 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 BBP, 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 BBP and its owners, agents, officers and 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/GelBlaster equipment or my participation in Paintball, Airsoft and/or Gellyball/GelBlaster 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 BBP. This Waiver expires one year after signed.

MEDICAL PERMISSION AUTHORIZATION  

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

   

CONSENT TO PUBLICATION OF PHOTOGRAPH

I authorize and release to Ballistic Ben’s Paintball Park and Midway Paintball and its staff the use of my image and voice in any photograph or video recording for any purpose.


PARK SAFETY RULES

All players and spectators must read and follow these important guidelines. The purpose of these rules is to ensure safe play and sustain the level of organization and sportsmanship necessary to keep paintball a positive, enjoyable activity. Participants will be restricted from play and may be made to exit the premises for violating any of these safety rules. Park rules include, but are not limited to:

  • Listen to and follow the field staff. Do not argue a referee’s decision; do not distract his or her attention from the game.
  • Eye Protection: All "goggles-on" areas are identified by "goggles-on" signs. While in these areas, Approved Eye Protection (designed for paintball) MUST be worn by all persons at ALL times. Approved eye protection shall meet or exceed the ASTM guidelines and require .06 lexan lenses positively secured within frames, secured to the head with a head band, and fully enclosing the eye cavity. Both the goggle and the mask must me unmodified. No cut-outs, cutaways, no compromises, no excuses. Rolling up flexible masks is unacceptable. Ear protection is required. All original pins, screws, clips, etc. must be in place. No cracked, painted, or otherwise modified lenses. All the same standards apply to spectators and everyone with access to a “goggles-on” area. Players are not permitted to remove goggles when leaving the playing field. Goggles must remain on until players reach a “safe-zone” (marked by a “Safe Zone" sign). If your mask comes off in a goggles-on zone immediately cover your eyes and yell, “Blind Man!” until the game is stopped by a referee. If you hear “Blind Man!” being called immediately put your marker down and repeat the call over and over until the game has been stopped by a referee.
  • Smoking is not allowed in, on, or around the paintball course. There will be no smoke grenades, smoke bombs, or any other smoke or heating generating devices allowed on the premises.
  • No shooting into or out of the parking area, staging area and neutral zones, or at any objects outside of the Paintball Park. Approved barrel blocking device use is mandatory in these areas. Plugs, squeegees, sticks, stuffed animals/toys, rags, etc. are not proper barrel blocking devices and are not permitted.
  • Shooting is permitted only during games when on the field, or in a designated area i.e. target range, chronograph. Do not shoot at wildlife on the field.
  • Do not litter, vandalize or behave in an unsafe manner. Do not “blind fire,” do not climb trees, do not move, tamper, or climb in/on field structures. Do not encourage unsafe play.
  • Person(s) who engage in confrontational arguing, use abusive language, and/or threaten physical violence will be asked to leave the premises with no refund.
  • Potentially dangerous gear (such as firearms, pyrotechnics and explosives) is prohibited. Personal paintball equipment must be approved by the game site operator or his/her representative.
  • Illegal drugs, Marijuana, and Alcohol are not allowed on Ballistic Ben’s Paintball Park premises. Participants that are believed to have consumed alcohol or drugs before arriving to the facility will not be allowed to participate and will be asked to leave without refund.
  • Making aggressive physical contact, arguing/fighting with another player, staff, or participant poses a safety hazard and will not be tolerated.
  • Pump and semi-automatic markers only. Ramping, 3-Round Burst, and Fully Auto are prohibited. All markers must be locked in the semi-auto position. Markers may not exceed the maximum limit of 300 FPS (feet per second).
  • Manually adjustable velocity regulators (any system not requiring a tool for adjustment) are prohibited. Markers may not exceed the maximum limit of 300 FPS (feet per second). No tools are allowed on the field during play with the exception of barrel squeegees.
  • Do not attempt to remove the power source or other parts from rental markers, and do not tamper with the rental goggle/face mask system.
  • Paintball “hits” are indicated when a player receives a “mark” of paint from one shot. “Splatter” marks do not constitute a hit. The ball must hit and break on the player. If you are unsure judgment will be determined by a referee. Other signs of elimination include: Yelling the word “hit”, or lifting your marker and/or free hand over your head. Once eliminated you must install your barrel blocking device and proceed in a quick manner to the staging area, holding your marker straight up into the air and yelling: “Hit”, “I’m out”, “I have been eliminated”, and/or, “Dead man coming through”.
  • Field boundaries are clearly marked and will be briefed prior to the start of play. Crossing boundaries is not permitted and if determined to be the case, will eliminate the player from the game.
  • First Aid – A first aid kit is available at the Registration Counter. If you are injured notify the official immediately and proceed to the Counter.
  • Youth ages 5-17 must have an adult sign the consent waiver and rules forms.
  • Paint Policy: You may use your own paint as long it’s on the approved paint list. Approved brands are GI Sportz, Empire, Valken, HK Army, and D3fy. Failure to comply with these rules will result in being asked to leave the premises for the remainder of the day and will receive no refund.
  • Open-play hours are subject to change without prior notice and/or refund.

VIOLATIONS OF ANY OF THESE RULES CAN RESULT IN YOUR REMOVAL FROM THE GAME AND/OR THE PREMISES FOR A PERIOD OF TIME DETERMINED BY THE PARK OWNER OR HIS/HER REPRESENTATIVE. BY SIGNING THIS DOCUMENT, PARTICIPANT (AND GUARDIAN, WHEN APPLICABLE) ACKNOWLEDGES HAVING READ AND UNDERSTOOD ITS MEANING AND CONTENTS.

I HAVE READ THE ABOVE WAIVER AND RELEASE AND I HAVE READ THE RULES. BY SIGNING I AGREE IT IS MY INTENTION TO EXEMPT AND RELIEVE BBP FROM LIABILITY FOR PERSONAL INJURY, PROPERTY DAMAGE OR WRONGFUL DEATH CAUSED BY NEGLIGENCE OR ANY OTHER CAUSE. I AGREE TO ALL TERMS STATED IN THIS LEGAL DOCUMENT.

I Agree
November 23, 2024

First Participant's Name

First Name*

Last Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

Last Name*
Tenth Participant's Date of Birth*
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 if you would like to receive news, special promotions, and updates from Ballistic Ben’s. Email addresses and other personal information will never be publicly replicated, distributed, or sold.
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*

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.


One or more problems exist. Please scroll up.




Powered by  Smartwaiver - TRY IT FREE!