R13, 2021-04-12

NOTE: Boston Paintball does not accept paper waivers, please submit electronically.

SPECIALTY INSURANCE LLC

RELEASE OF LIABILITY WAIVER

Boston Paintball Inc. = BP // Phone: (617) 941-0123

WAIVER AND RELEASE OF LIABILITY

THIS IS A RELEASE OF LIABILITY. PLEASE READ BEFORE SIGNING


Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.

Providing FALSE information on this Release Form is PUNISHABLE by the Law!

Please select who will be participating:

First Minor's Information

This is to certify that I, as parent or guardian with legal responsibility for the above named participant, do consent and agree not only to his/her release as fully explained below, but also to release and indemnify the released from any and all liabilities incident to his/her involvement in these programs for myself, my heirs, assigns and next of kin.

Second Minor's Information

This is to certify that I, as parent or guardian with legal responsibility for the above named participant, do consent and agree not only to his/her release as fully explained below, but also to release and indemnify the released from any and all liabilities incident to his/her involvement in these programs for myself, my heirs, assigns and next of kin.

Third Minor's Information

This is to certify that I, as parent or guardian with legal responsibility for the above named participant, do consent and agree not only to his/her release as fully explained below, but also to release and indemnify the released from any and all liabilities incident to his/her involvement in these programs for myself, my heirs, assigns and next of kin.

Fourth Minor's Information

This is to certify that I, as parent or guardian with legal responsibility for the above named participant, do consent and agree not only to his/her release as fully explained below, but also to release and indemnify the released from any and all liabilities incident to his/her involvement in these programs for myself, my heirs, assigns and next of kin.

Fifth Minor's Information

This is to certify that I, as parent or guardian with legal responsibility for the above named participant, do consent and agree not only to his/her release as fully explained below, but also to release and indemnify the released from any and all liabilities incident to his/her involvement in these programs for myself, my heirs, assigns and next of kin.

Sixth Minor's Information

This is to certify that I, as parent or guardian with legal responsibility for the above named participant, do consent and agree not only to his/her release as fully explained below, but also to release and indemnify the released from any and all liabilities incident to his/her involvement in these programs for myself, my heirs, assigns and next of kin.



Participant's Information


Participant's Address:


Participant's Email Address:


Note: This form must be signed before the participant is allowed to take part in any paintball/airsoft event.

In consideration of BP 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 BP; 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 BP, 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 BP and it’s owners, agents, officers and employees from any and all claims, actions or losses for bodily injury, property damage (including, but not limited to, arising out of the actual or alleged transmission of a communicable disease), 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 BP

PHOTOS & FILM:

By signing this waiver I hereby grant permission to BP to make and use for promotion or other purposes, photographic records without recourse or compensation to me or anyone else otherwise.

MEDICAL PERMISSION AUTHORIZATION

If the participant is of minority age, the undersigned parent or guardian hereby gives permission for BPB to authorize emergency medical treatment as may be deemed necessary for the child named below while participating in paintball games.

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


Participant's Signature:

Click to Sign
Signature

By checking here, you acknowledge you have read and understand the above terms, and are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.