Riverport and Starnet Insurance Companies
COSSIO Insurance Agency 864-688-0121
Professional Paintballers Extreme Battlefield
Read Carefully
(956) 461-3100
Waiver and Release of Liability
In consideration of PPEB furnishing services and/or equipment to enable me to participate in paintball
games, I agree as follows:
I fully understand and acknowledge that; (A) risk 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 may not be limited to bodily injury, disease strains, fractures, partial and/or total
paralysis, eye injury, blindness, heat stroke, heart attack, death, or other aliments that could cause serious disability;
(C) these risks and dangers may be caused by the negligence of owners, employees, officers or agents of PPEB, the
negligence of the participants, 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, weather caused in whole or in part by the negligence of other conduct of the owners, agents, officers,
employees, of PPEB or by any other person.
I, on behalf of myself, my personal representatives and my heirs, hereby voluntarily agree to release, wave, discharge,
hold harmless, defend and indemnify PPEB and its owners, agents, officers, and employees from any and all claims,
actions, or losses for bodily injury, property damage, 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 waving my claims or actions that may have presently or in the future for the negligent acts
of other conduct by the owners, agents, officers, or employees of PPEB.
Medical Permission Authorization
If the participant is of minority age, the undersigned parent or guardian hereby give permission to EB to authorize
emergency medical treatment as may be deemed necessary for the child named below while participating in paint ball
games.
I have read the above waiver and release and by signing it, I agree it is my
intention to exempt and relieve EB from liability for personal injury property
damage or wrongful death caused by the negligence or any other cause.
Print Name
Signature
Signature of Parent/Guardian
(If less that 18 years old)
Todays Date
Age
Date of Birth
Address
City
Email
Phone
State
Zip
Rules
If you do not obey the rules,
you will be asked to leave without refund!
NO EXCEPTIONS!
1.
Masks o at all time in the field.
2.
Barrel socks on at all times out of the field.
3.
NO swearing, fighting, or foul play.
4.
You may not play with velocity over 280FPS.
5.
No shooting out of the playing field.
6.
No outside paint with home guns.
7.
You may NOT use or pick up paintballs that have fallen on the floor.
8.
Spectators must 3 feet away front he nets.
9.
No shooting at wildlife.
10.
No drugs or alcohol.
11.
No automatic or over 3 shot burst.
12
You are responsible to pay for any of our equipment that is lost or stolen.
13.
No food or drinks in the field.
14.
Pick up your trash.
15.
We have the right to refuse service.
16.
We are NOT responsible for you lost or stolen items.
17.
Treat our equipment with respect, clean it, and do not trash it.
18.
We are not responsible for any children supervised or unsupervised,
parents must supervise children at all times and must not leave children
unattended on parks ground.
19.
We are NOT responsible for any accidents.
Players Signature