Wheat State Retreat Center Paintball Waiver

Wheat State Retreat Center Paintball Waiver

Please review and sign the waiver to participate.
Participant Full Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact Name

First NameLast Name
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Group / Event
Date of Birth

MonthDayYear
Date
Age
Please read and agree to the following waiver terms before participating in paintball activities. By signing below, you acknowledge the risks involved and agree to release the organizers from any liability.

In consideration of AGK Ministry Network furnishing services and/or equipment to enable me to participate in paintball games, I agree as follows:

I fully understand and acknowledge that: (a) risks and dangers exist in my use of Paintball equipment and my participation in Paintball activities, (b) my participation in such activities and/or use of such equipment may result in my 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 AGK., 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 AGK, 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 and its’ owners, agents, officers and employees from any and all claims, actions or losses for bodily injury, property damage, wrongful death, loss of services or otherwise which may arise out of my use of Paintball equipment or my participation in Paintball 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 AGK.
Participant Signature
Parent / Guardian Signature
Should be Empty: