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Minnesota Release of Liability Form

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Minnesota Release of Liability Form
Minnesota Release of Liability Form
THIS IS A RELEASE OF LIABILITY -- READ BEFORE SIGNING
NOTE: THIS FORM MUST BE READ AND SIGNED BEFORE THE PARTICIPANT IS
ALLOWED TO TAKE PART IN ANY PAINTBALL EVENT.
PARTICIPANT'S NAME ______________________________ DATE OF BIRTH ______________
(Please Print LEGIBLY)
IN CONSIDERATION of being permitted to participate in any way in the sport and activities of paintball under the
auspices
of THE AMERICAN PAINTBALL LEAGUE, I acknowledge, appreciate, and agree that:
1. The risk of injury from the activity and weaponry involved in paintball is significant, including the potential for 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
NEGLIGENCE of those persons released from liability below, and assume full responsibility for my participation; and,
3. I understand that the activities 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 FROM LIABILITY THE AMERICAN PAINTBALL LEAGUE (APL), THE APL CERTIFIED MEMBER
FIELD, the owners and lessors of premises used to conduct the paintball activities, their officers, officials, 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 THE 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 Release of Liability 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: _____________ Phone #: ____________________
PARTICIPANT'S SIGNATURE
_________________________________________________ ______________________________ _______________
ADDRESS CITY, STATE ZIP CODE
_____________________________________
E-Mail Address – We will put you on our monthly newsletter list
How did you hear about MN Pro Paintball Internet Coupon Radio Sign Referral Other
Is this your first time playing paintball
YES NO
Are you with a reservation group today
YES NO
Have you ever played at MN Pro Paintball before
YES NO
FOR PARTICIPANTS OF MINORITY AGE (UNDER AGE 18 AT TIME OF REGISTRATION)
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 American Paintball League (APL) and all other Releasees but also to 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: _____________________________
---------------------------------------------------------Office Use Only----------------------------------------------------------
____ Entered Into Database 1.____________ 2._________ 3.________
Minnesota Release of Liability Form