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First Name: |
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Last Name: |
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Street Address & Apt. #
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City: |
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Phone Number w/Area Code: |
Email Address: |
KNOW ALL MEN BY THESE PRESENT
THAT THE UNDERSIGNED, being of lawful age, for the sole consideration of being
granted the opportunity to participate in the below described event does hereby
and for his/her heirs, executors, administrators, personal representatives,
successors and assigns release, acquit and forever discharge in the United
States Of America and the owner of any lands utilized by LCP SCENARIO GAMES in
the conduct of its operations and its or their agents, servants, successors,
personal representatives, heirs, executors, administrators, assigns, and all
other persons, firms, corporations, associations, or partnerships of and from
any and all claims, actions, causes of action, demands, rights, damages, costs,
loss of service, expenses and compensation whatsoever, which the undersigned now
has or which may hereafter accrue or result from on account of or in any growing
out of any and all known and unknown, foreseen and unforeseen, bodily and
personal injuries and property damage and the consequences thereof resulting or
to result or which may result from any accident, casualty, or event which may or
did occur for any reason in connection with or arising out of or on account of
the undersigned's participation in simulated combat situations, whether as
contestant or observer, held on the date of execution hereof.
It is understood and agreed that this release is made in order to induce
LCP SCENARIO GAMES to allow the undersigned to participate in the event herein
referenced and that such inducement is material in LCP SCENARIO GAMES decision
to allow the undersigned to participate. Furthermore, the undersigned agrees to
follow and abide by the letter and spirit of the rules of safety and play as
defined by LCP SCENARIO GAMES and/or it's representatives. Specifically,
the undersigned agrees to wear at all times while on the playing field - AND
while off field within 200 feet of any non-netted field boundary - eye
protection approved by the ASTM, Nocer Productions and/or its representatives.
The undersigned hereby declares and represents that he/she acknowledges
and understands that any injuries which may be sustained for any reason may be
permanent and progressive and that recovery there from is uncertain and
indefinite, or may be fatal, and in making the Release it is understood and
agreed that the undersigned intends to assume any and all risks of loss,
including property damage losses, and indemnifies and saves LCP SCENARIO GAMES
and/or its representatives from any damage, loss, claim, cost, and expense of
any kind or nature.
The undersigned further declares and represents that no promise,
inducement, or agreement not herein expressed has been made to the undersigned,
and that this Release contains the entire agreement between the parties hereto,
and that the terms of this Release are contractual and not mere recital, and
that it is made freely, knowingly and intentionally
The foregoing Release and its conditions are understood to apply to all
other individual players, as well as LCP SCENARIO GAMES and the landowners or
Scenario Directors and Promoters of paintball games.
THE UNDERSIGNED HAS READ THE FOREGOING RELEASE AND FULLY UNDERSTANDS IT.
THE UNDERSIGNED REPRESENTS THAT HE/SHE CAN READ AND WRITE THE ENGLISH LANGUAGE
AND HAS SIGNED THE RELEASE FREELY AND WITHOUT DURESS OR UNDER INFLUENCE OF ANY
KIND.
THE UNDERSIGNED FURTHER ACKNOWLEDGES THAT THE EVENT ABOVE DESCRIBED MAY
INVOLVE A HIGH DEGREE OF RISK OR PHYSICAL INJURY OR DEATH; THAT THE SIMULATED
COMBAT SITUATIONS INVOLVE USE OF A GAS POWERED WEAPON SHOOTING PAINT-FILLED
GELATIN PROJECTILES AND THAT IT IS HIGHLY PROBABLE THAT THE UNDERSIGNED WILL BE
HIT BY ONE OR MORE SUCH PROJECTILES.
In witness whereof I have hereunto set my hand and seal and delivered
this Release the day referenced above.
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Signature (REQUIRED)
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Date
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Admission into LCP SCENARIO GAMES
events constitutes consent to use, without restriction, reproductions of your
likeness, whether by photograph, video, film or otherwise, for commercial and
noncommercial purposes, including but not limited to publication in magazines,
video, movies and internet web sites. By signing this form, I hereby swear that
I have read the rules provided and will abide by them as well as help others to
abide by them. I will conduct myself in a sportsmanlike manner and play fair and
honest at all times. I also understand that consumption of alcohol by minors is
prohibited. Consumption of alcohol by anyone between 2am Saturday and game's end
on Sunday is prohibited. Drug use will not be tolerated! I understand that use
of non-event paint will result in my immediate ejection from the property with
no refund. I understand that violations of the rules or un-sports-manlike
conduct may also result in my ejection from the event and property without
refund.
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Signature (REQUIRED)
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Date
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BELOW FOR PARTICIPANTS UNDER AGE 18 AT
TIME OF REGISTRATION
This is to certify that, as parent/guardian with legal responsibility for
this participant, do consent and agree not only to his/her release of ,LCP
SCENARIO GAMES the host field, and all other Releasers but also to release and
indemnify the Releasers from any and all liabilities incident to his/her
involvement in these programs for myself, my heirs, assigns, and next of kin.
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Parent's Signature
(REQUIRED FOR MINORS) |
Date
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Emergency Phone #(s)
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