Endless Mountain Recreation, Inc. = EMR Phone: 570-465-9622 PAINTBALL WAIVER AND RELEASE OF LIABILITY
DO NOT SEND WAIVER WITH REGISTRATION! HAND IN AT CHECK-IN!
In consideration of EMR furnishing services and/or equipment to enable me to participate in paintball games and allowing me the use of part or all of the entire 122 acre EMR facility including but not limited to the Camping Area, Bunkhouses, Recreation Center, Recreation Area, Picnic Pavilion, Ponds, Firepits, Roads, Paintball Playing Fields, etc., I agree as follows:
I fully understand and acknowledge that; (a) risks and dangers exist in my use of Paintball and/or other equipment and my participation in Paintball activities or any other activities at EMR; (b) my participation in such activities and / or use of such equipment may result in my injury or illness including but not limited to bodily injury, disease strains, fractures, partial and/or total paralysis, eye injury, blindness, heat stroke, heart attack, death or other ailments that could cause serious disability; (c) these risks and dangers may be caused by the negligence of the owners, employees, officers or agents of EMR, the negligence of the participants, the negligence of others, accidents, breeches 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, whether caused in whole or in part by the negligence of other conduct of the owners, agents, officers, employees of EMR, or by any other person.
I, on behalf of myself, my personal representatives and my heirs, hereby voluntarily agree to release, waive, discharge, hold harmless, defend and indemnify EMR 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 from my activity at the EMR facility whether caused or contributed to, in whole or in part, by the negligence of EMR, its agents, employees, officers or representatives. I specifically understand that I am releasing, discharging and waiving any claim or cause of action that I may have presently or in the future against EMR, its agents, employees, officers or representatives arising from my activity at the EMR facilities.
SAFETY PLEDGE: I agree that I will participate in a safety briefing before playing paintball that will be given by an EMR employee covering the EMR safety rules and fully understand that by signing below, I agree to abide strictly by these rules. I agree to keep a barrel cover on my paintball marker at all times except while shooting paintballs on a EMR designated shooting range or while playing Paintball under the supervision of EMR trained referees. I also agree to correctly wear my goggles at all times while on the playing field or designated shooting range. I will remove them only while in an EMR designated safety area or when instructed by an EMR trained referee that it is safe to remove them. I will not partially lift my goggles or pull them away from my face at any time except while in an EMR designated safety area or when instructed by an EMR trained referee that it is safe to do so. I will never point a paintball marker at any other person except while playing paintball and only if they have a mask/goggle system on. I understand the safety rules of handling a paintball marker and accept that responsibility to insure the safety of fellow players and myself. I will never cause physical contact with any other person on or off of the playing field while on EMR premises. I also agree not to be under the influence of alcohol or under the influence of any drugs that can affect my judgment, perception, or physical movement while playing Paintball at EMR.
I HAVE READ THE ABOVE WAIVER AND RELEASE AND BY SIGNING IT AGREE IT IS MY INTENTION TO EXEMPT AND RELIEVE EMR FROM ANY LIABILITY FOR PERSONAL INJURY, PROPERTY DAMAGE OR WRONGFUL DEATH CAUSED BY NEGLIGENCE OR ANY OTHER CAUSE. FORM MUST BE COMPLETELY FILLED OUT TO PLAY PAINTBALL!
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Print Full Name Age Date of Birth Phone Date
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The undersigned parent or guardian has read the above Waiver, agrees to its terms, and hereby gives permission for the above named minor to
participate in Paintball Games and other activities at ENDLESS MOUNTAIN RECREATION, INC.=EMR and hereby gives EMR permission to authorize medical treatment as may be deemed necessary for the child named above while playing Paintball Games or while involved in any other activities at EMR. If contact information is different for Parent/Guardian, please add information on back of form.
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Signature of PARENT/GUARDIAN Medical Insurance Policy Number Insurance Company
(MUST be FILLED OUT and SIGNED by PARENT or GUARDIAN if PLAYER is UNDER 18 YEARS OLD)