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RiverSplat , LLC. (636) 356-1074
RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OR RISK,
AND INDEMNITY AGREEMENT ("AGREEMENT")
Date______________________ (This form is valid for the
calendar Year of 2007)
In consideration of participating in the
SPORT OF PAINTBALL at RiverSplat I represent, that I
understand the nature of this Activity and that I am qualified, in
good health, and in proper physical condition to participate in such
Activity. I acknowledge that if I believe event conditions are
unsafe, I will immediately discontinue participating in the
Activity.
I fully understand that this Activity involve risks
of serious bodily injury, Including permanent disability,
paralysis
and death, which may be caused by my own actions , or
inactions, those of others participating in the event,
the
conditions in which the event takes place, or the negligence
of the "releases" named below; and that there may be other risks
either not known to me or not readily foreseeable at this time; and
I fully accept and assume all such risks and all responsibility for
losses, costs, and damages I incur as a result of my participation
in the Activity
I hereby release, discharge, and covenant not to
sue RiverSplat, LLC., its Respective
administrators, directors, agents, officers, volunteers, and
employees, other participants, any sponsors, advertisers, and if
applicable, owners and lessors of premises on which the Activity
takes place, (each considered one of the "RELEASES" herein) from all
liability, claims, demands, losses, or damages on my account caused
or alleged to be caused in whole or in part by the negligence or the
"releases" or otherwise, including negligent rescue operations; and
I further agree that if , despite this release, waiver of liability,
and assumption of risk I, or anyone on my behalf, makes a claim
against any of the Releases, I will indemnify, save, and hold
harmless each of the releases from any loss, liability, damage, or
cost which any may incur as the result of such claim.
I have read this RELEASE AND WAIVER OF LIABILITY,
ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT, understand that I
have given up substantial rights by signing it and have signed it
freely and without
any inducement and assurance of any nature and
intend it be a complete and unconditional release of all liability
to
the greatest extent allowed by law and agree that if any
portion of this agreement is held to be invalid the
balance,
notwithstanding, shall continue in full force and
effect.
Date of
Birth ________________________________________
Signature of Participant
___________________________________
Printed Name of Participant ___________________________________
Phone
number _________________________________
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