FRAN BAR PARK
THIS IS A RELEASE OF LIABILITY - READ BEFORE SIGNING
NOTE: THIS FORM MUST BE READ AND SIGNED BEFORE THE PARICIPANT IS ALLOWED
TO TAKE PART IN ANY PAINTBALL EVENT.
PARTICIPANT'S NAME_______________________________(Please Print)
DATE OF BIRTH_____________________
IN CONSIDERATION of being permitted to participate in any way in the sport and
activities of paintball under the auspices of FRAN BAR PARK, I acknowledge,
appreciate, and agree that:
1. The risk of injury from the activity and weaponry involved in paintball is significant, including the potential from 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 NEGLIGENECE of those persons
released from liability below, and assume full responsibility for my participation; and
3. I understand that the acitivites of paintball are physically 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; and
4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS FRAN BAR PARK,
the owners and lessors of the premises used to conduct the paintball acitivites, their officers, agents, and/or employees ("releasees"), WITH
RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or 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 Liablility Agreement covers each and every paintball activity and event in which I participate hereafter.
I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT,
FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL
RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY
INDUCEMENT.
X_________________________________ DATE SIGNED______________________________
PARTICIPANT'S SIGNATURE
______________________________________________________________________________
ADDRESS
CITY, STATE
ZIP
PARENT OR GUARDIAN MUST READ THIS FORM AND SIGN BELOW
This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and
agree not only to his/her release of the Fran Bar Park and all other Releasees but also release and indemnify
the Releasees from any and all liabilities incident to his/her involvement in these programs for myself, my heirs, assigns, and next of kin.
X___________________________________________________________________________
PARENT/GUARDIAN'S SIGNATURE
EMERGENCY PHONE #'S
DATE SIGNED______________________