LASERTAG THIS IS A RELEASE OF LIABILITY FOR LASERTAG – READ BEFORE SIGNING!
NOTE: THIS FORM MUST BE READ AND SIGNED BEFORE THE PARTICIPANT IS ALLOWED TO TAKE PART IN ANY LASERTAG EVENT. If you disagree with or do not understand any provisions contained in this release do not sign it.
IN CONSIDERATION of being permitted to participate in any way in the sport and activities of LASERTAG at GAME ON MUSWELLBROOK, I acknowledge, appreciate, and agree that:
- There is a risk of injury from the activity involved in LASERTAG and while particular personal discipline will minimize the risk, the risk of injury does exist;
- I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE of those persons released from liability below, and assume full responsibility for my participation; and,
- I understand that the activities of LASER TAG are physically and mentally intense. I understand the rules of play and will comply with all rules and regulations. I understand that if I fail to follow any of the rules or regulations I will be asked to leave the premises. If I observe any unusual or unnecessary hazard during my participation, I will bring such to the attention of the nearest official as soon as practical; and,
- I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE, WAIVE, DISCHARGE, HOLD HARMLESS, DEFEND, AND INDEMNIFY FROM LIABILITY GAME ON MUSWELLBROOK, the owners and lessors of premises used to conduct the LASERTAG activities, their officers, officials, agents and/or employees (“Releasees”), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property, WHETHER CAUSED BY THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, except that which is the result of gross negligence and/or wanton misconduct.
- I understand and agree that this Release of Liability Agreement covers each and every LASERTAG activity and event in which I participant hereafter. THIS WAIVER IS ONLY GOOD THROUGH DECEMBER 31, 2017.
- If you are OR could be pregnant you SHOUD NOT participate in this activity
- If you have a heart condition you SHOULD NOT participate in this activity.
I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTANDING ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.
ALL INFORMATION IS MANDATORY EXCEPT FOR YOUR E-MAIL. We occasionally send e-mails; we DO NOT sell our e-mail list.
PLEASE PRINT CLEARLY ALL INFORMATION EXCEPT FOR YOUR SIGNATURE:
PLAYER’S NAME_______________________________________________ BIRTHDATE ____/____/______
First Middle Initial Last Example: 12 / 31 / 2000
PLAYER’S SIGNATURE_________________________________________________ DATE____/___/_____
The PLAYER, regardless of age, needs to sign above.
Parents please sign and print your name above for players under 18.
CITY _______________________________________________ STATE ______ POST CODE____________
E-MAIL ______________________________________________________ PHONE # _________________
Select one: YES – I want my waiver kept on file for 2017 (not applicable if signed by “Other”)
NO – I will fill out a new one each time.
2017 LASERTAG WAIVER for JANUARY 1, 2017 – DECEMBER 31, 2017