PLEASE NOTE: You can print this
Page and bring it with you to "THE BUNKERS"
'THE BUNKERS"
3699 FM 2657, KEMPNER, TEXAS 76539
NAME: (PLEASE PRINT):
____________________________________________
TELEPHONE:________________________________________________________
WAIVER AND RELEASE OF ALL LIABILITY - ASSUMPTION OF RISK
I, the undersigned assume all risks of injury,
release and waive all claims and liability of any nature whatsoever against
the premises, owner, possessor, or controller its, offices, shareholders, and
employment of " THE BUNKERS" doing business as "THE
BUNKERS" PAINTBALL PARK, (herein called promoters) for any and all
injuries or damages I might sustain while on the premises or while playing
paintball games (hereafter "games").
I acknowledge and understand that the games can be
vigorous and strenuous with risk of possible injury or permanent physical
injury, including death. The risk include, but are not limited in,
injury from impact from projectiles, slipping, tripping, or falling on the
premises: obstacles; malfunctions or defect in equipment including failures
due to compressed gases; and exertion of underling physical ailments or
infirmities due to strenuous physical exertion. I certify that I have
complete medical insurance coverage should any need arise. I hereby
agree to play the games according to the rules set forth by the promoters and
further I specifically agree:
A. To behave in a safe, courteous, and sportsmanlike manner
at all times. Never using profane or insulting language to the players
or the
referees, or employees and avoiding all physical contact with other players or
persons. I further agree to obey the instructions of the referees.
B. To wear approved safety goggles and masks at all times I
am on the playing field even after I have been marked with paint or the games
are over to keep the goggles properly adjusted. I understand that
serious injury including permanent loss of eyesight could occur if I fail to
wear any safety goggles at all times as directed. In the event that my
safety goggles are fogged or splattered with paint, I agree I will not remove
my safety goggles on the playing field for any reason whatsoever but instead
will call for a referee or the assistance of another player to escort me off
the field where the lenses can be cleaned or adjusted in safety. I
understand that paintball guns/markers can be discharged at any time,
intentionally, and therefore I agree never to remove my safety goggles for any
reason on the playing field in order to safeguard my eyesight.
C. I will not consume alcohol or any medication which might
impair my judgment or physical coordination while on the premises of THE
BUNKERS PAINTBALL.
D. To us my paintball gun in a safe, responsible manner with
due regard for the safety of all persons including myself in the non -playing
field areas. I will refrain from pointing my paint gun at myself or
other players, I will insure that the chamber of my paint gun is empty, the
safety engaged, a barrel plug inserted in the barrel. I acknowledge that
I am responsible for chronographing my paintball gun every time I enter the
field playing are and must verify that my paintball gun is shooting at or
below the approved velocity of 290 fps.
SIGN NAME______________________________ PARENT
SIGNATURE________________________
ADDRESS_________________________________
CITY/ST______________________________
DATE____________ E-MAIL (optional)
_______________________________________________
PLEASE NOTE: You can print this
page and bring it with you to "THE BUNKERS"
PARENTAL CONSENT
"THE BUNKERS"
3699 FM 2657, Kempner, Texas 76539
I,________________________________________ AM THE
PLEASE PRINT
PARENT / LEGAL
GUARDIAN OF:
________________________________________________
PLEASE PRINT
I HAVE READ THE WAIVER AND RELEASE OF LIABILITY /
ASSUMPTION OF RISK FORM AND AGREE
TO ALL OF THE TERMS, STATEMENTS, AND CONDITIONS THEREIN.
I FURTHER STATE THAT I HAVE REVIEWED THIS FORM WITH MY DAUGHTER / SON /
WARD, AND THAT
THEY ALSO UNDERSTAND AND AGREE TO ALL OF THE TERMS, STATEMENTS, AND
CONDITIONS.
SIGNED: ____________________________________________
ADDRESS: __________________________________________
CITY / STATE: _______________________________________
DATE: _____________________________________________