Customer I.D.
For ofﬁce use only
UNDER 18s DISCLAIMER - To be completed by Parent or Guardian
Parent/Guardian SURNAME
Parent/Guardian FIRST NAME
Parent/Guardian ADDRESS
POSTCODE
TEL#
EMAIL
DD
Parent/Guardian DATE OF BIRTH
MM
YYYY
FULL NAME OF CHILD
Name of Group Organiser
DD
MM
YYYY
Date Of Birth Of Child
Relationship to Child
No
Does the child have any medical condition/allergies or take any prescribed medicines?
Yes
If YES please give details:
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Activities: Paintball (10yrs+) Laser (6yrs +) Airsoft (11yrs +) Mini Paintball (8yrs+) Quad Trekking (11yrs+ 90cc - 16yrs+ 150cc)
Inﬂatable Activities (8yrs+) Bush Craft (8yrs +) Air Pistol / Riﬂe Target shooting (11yrs+) Archery (10 yrs +)
A-Ball (10yrs+) Team Building (11yrs+) Sling Shot Target Shooting (11yrs+)
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Important - Please Read
I hereby confirm that I am the parent or guardian of the Child; that I have parental responsibility for the Child and that I consent to the Child participating in the
Activities at my sole risk. I confirm that I understand that risks and dangers exist in the Activities and that by participating in the same the Child may be exposed
to various different hazards which may include but which will not be limited to fallen trees; dead branches; sharp objects, holes, burrows, trip and slip hazards
and loose ground.
I hereby confirm that in signing this form and allowing the Child to participate in the Activities, I shall bear sole responsibility for any loss, damage, cost or
expense that the Child may suffer as a result of or in connection with the Activities other than where the same results from death or personal injury caused by the
negligence of WDP Paintball Limited or one of its employees, agents or servants.
I hereby confirm that I will ensure that the Child pays attention to all safety briefings that may be given in connection with the Activities and also to familiarise
themselves with any safety notices, warnings or other information which may be displayed in connection with the Activities before the Child takes part in any of
the Activities. I further confirm that I will ensure that the Child complies with all rules that may be in force or instructions which may be given to them from time to
time in connection with any of the Activities and I will ensure that the Child adheres to any requirements that may be stipulated in connection with the equipment
which must be worn whilst taking part in the Activities.
I hereby acknowledge and accept that if the Child acts in breach of any of the rules which may be in force in connection with any of the Activities or if the Child
fails to adhere to any instructions, briefings, notices or other requirements which are placed on them in connection with the Activities that the Child may be
excluded from any further participation in the Activities with immediate effect and without any entitlement to a refund.
I hereby agree that in consideration of allowing the Child to take part in the Activities that I shall indemnify WDP Paintball Limited together with its employees,
agents and servants from any and all loss or liability that they may suffer or incur in connection with or as a result of the Child taking part in the Activities
PLEASE NOTE: Persistent violation of our safety rules & policies will result in the exclusion of the offending players & quad riders from the activity. Unruly
behaviour and abusive language will not be tolerated and could result in the termination of all activities. WDP Paintball Limited reserve the right to refuse
admission. Alcohol is not permitted.
I hereby confirm that the details set out above are correct and complete in all regards and that I have read, understood and accept all of the above.
Signed
Date
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Thank you and enjoy your day
at NPF BASSETTS POLE