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Camp Allendale Paintball Release from Liability Agreement Please Read Carefully Please Print Clearly the Following Information ____________________________________________________________________________________________ Participant Last Name First Name Middle ____________________________________________________________________________________________ Address City State Zip ____________________________________________________________________________________________ Parent Legal Guardian Work Phone This agreement is entered into between Camp Allendale and the undersigned participant with respect to participation at the paintball facilities operated by Camp Allendale In consideration of the use of the field and facilities owned by Camp Allendale participant agrees as follows 1 Participant waives any cause of action against Camp Allendale and its owners agents and employees which might arise from any failure of equipment that is used in this activity 2 In the event a third party or parties is injured in any occurrence in which the undersigned participates the undersigned shall indemnify defend and hold harmless Camp Allendale its affiliates its owners agents and employees from ALL costs and expenses which arise from claims by such injured parties 3 Participant authorizes any medical treatment deemed necessary in the event of any injury while participating in paintball activities It is the responsibility of participant to carry full and complete insurance coverage for personal bodily injury and personal property damage to participant and any other individuals who may be injured resulting from paintball activities or in its absence agree to pay all costs of rescue and or medical services that may be incurred on behalf of the participant 4 Participant understands and accepts that paintball is a hazardous sport and has many dangers and risks which include serious bodily injury or death Participant hereby agrees to freely and expressly assume and accept any and all risks of injury Participant represents that he she is physically fit and adequately trained to safely participate in this physically demanding activity and that he she does not suffer from any injury defect ailment illness or the like which could conceivably lead to injury or death from participation in this activity Please initial ___________ By signing this form I acknowledge that I have read this document and fully understand this release I am ____________ years of age and agree to the terms above I am signing of my own free will and volition _______________________________________ _______________________________________ Participant Signature Date IF APPLICANT IS A MINOR UNDER 18 YEARS OF AGE HE SHE WILL NEED PARENT LEGAL GUARDIAN SIGNATURE I the undersigned do hereby certify that I am the parent legal guardian of ________________________________ I do hereby give my consent to Camp Allendale to allow him her to participate in this activity I agree to be bound by the terms conditions and limitations set forth herein I am signing of my own free will and volition _______________________________________ _______________________________________ Participant Signature Date _______________________________________ _______________________________________ Employee Signature Date

Camp Allendale Paintball Rules Regulations By tendering this application participant agrees to abide by all Rules and Regulations provided below now in effect or later modified recognizing that any violation may subject him her to expulsion from Camp Allendale 1 Participants must wear face mask at ALL TIMES when in shooting zones 2 When outside playing field guns must be plugged 3 Abuse of equipment will not be tolerated 4 Loud or abusive language is not permitted 5 Alcoholic beverages illegal drugs or smoking are not permitted at any time on the property 6 Full required protective gear and shoes must be worn at all times in the playing field area 7 Participant member agrees not to create any nuisance disturbance or harass or threaten other participants members guests or personnel or commit acts of moral turpitude or fraud while using the field or its facilities 8 ANYONE WHO VIOLATES THESE RULES AND REGULATIONS IS SUBJECT TO EXPULSION FROM THE FIELD WITH NO REFUND OF ANY FEES TERMS AND CONDITIONS These Rules and Regulations may be modified from time to time in the sole discretion of M40 Changes in activity rates schedules and hours of operation may also be made at any time without notice in the sole discretion of M40 WAIVER OF LIABILITY Participant member guest or patron shall participate in paintball activities at his her own risk Camp Allendale shall not be liable for any damages for personal injuries sustained by any participant member guest or patron in on or about the premises of Camp Allendale from any and all claims demands or causes of action including without limitation any claim for personal injuries arising out of the use of its facilities services or equipment or arising out of the negligence of Camp Allendale its owners affiliates agents or employees or any other person at Camp Allendale PERSONAL PROPERTY AND VALUABLES Camp Allendale shall not be liable for the loss or theft of or damage to the personal property of any participant member guest or patron SIGN IN PROCEDURE Participants are required to present this signed Release at time of check in for course Payment for paintball is required prior to the beginning of the session Amount paid __________________ Initial ___________