Cossio Insurance Agency Route 40 Paintball 410-335-7622

http:www.cossioinsurance.com

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WAIVER AND RELEASE OF LIABILITY

In consideration of Rt40 Paintball Park 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 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 Rt40 Paintball Park; 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 or the owners, agents, officers, employees of Rt40 Paintball Park, or by any other person.

I, on behalf of myself, my personal representative and my heirs, hereby voluntarily agree to release, waive, discharge, hold harmless, defend and indemnify Rt40 Paintball Park and it’s owners, agents, officers and employees from any and all claims, actions or losses for bodily injury, property damage, wrongful death, loss of service 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/or all 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 Rt40 paintball park.

I HAVE READ THE ABOVE WAIVER AND RELEASE AND BY SIGNING IT AGREE IT IS MY INTENTION TO EXEMPT AND RELIEVE RT40 PAINTBALL PARK FROM LIABILITY FOR PERSONAL INJURY, PROPERTY DAMAGE OR WRONGFUL DEATH CAUSED BY NEGLIENCE OR ANY OTHER CAUSE/S.

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(If under the age* of 18, a parent/guardian must sign)

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