Intro

National Sports Entertainment & Recreation Association

Industry Insurance Programs www.nsera.com/paintball

ZULU 24 INC. = ZULU

Phone: (347) 687-9923

Agree and Acknowledge

I understand and acknowledge that if I proceed to register online and to sign the waiver electronically, that, under the Electronic Transactions Act, such electronic registration and electronically signed Waiver document will be valid and enforced in the same manner as a hand-signed document that exists in physical form and that a record or signature may not be denied legal effect or enforceability under law solely because it is in electronic form.

Basic Information

Use parent or guardian information if under 18

Contact Information

Use parent or guardian information if under 18

Minor Information

Enter the information for the children for which you are responsible for:



RELEASE OF LIABILITY, INDEMNITY AND ASSUMPTION OF RISK

READ BEFORE SIGNING

IN CONSIDERATION of being permitted to participate in any Paintball and /or Airsoft activities including, but not limited to, playing, using the premises of, renting and operating equipment leased, sanctioned and/or operated by the above named vendor, I acknowledge and agree that:

I fully understand and acknowledge that; (a) risks and dangers exist in my use of Paintball and/ or Airsoft equipment and my participation in Paintball and/or Airsoft activities; (b) my participation in such activities and/or the 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 ZULU; the negligence of the participants, the 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, whether caused in whole on in part by the negligence or other conduct of the owners, agents, officers, employees of ZULU , 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 ZULU and it's 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 and/or Airsoft equipment or my participation in paintball and/or Airsoft activities. I specifically understand that I and releasing, discharging, and waiving and claims or actions that I may have presently or in the future for negligent acts or other conduct by the owners, agents, officers or employees of ZULU. This waiver is good through 12/31/19

MEDICAL PERMISSION AUTHORIZATION

If the participant is of minority age, the undersigned parent or guardian hereby gives permission to ZULU to authorize emergency medical treatment as may be deemed necessary for the child named below while participating in Paintball and/ or Airsoft games.

I HAVE READ THE ABOVE WAIVER AND RELEASE. AND BY SIGNING IT, AGREE IT IS MY INTENTION TO EXEMPT AND RELIEVE ZULU FROM LIABILITY FOR PERSONAL INJURY, PROPERTY DAMAGE OR WRONGFULL DEATH CAUSED BY NEGLIGENCE OR ANY OTHER CAUSE.

Signature

By entering my name below and clicking the “Submit Waiver” button below, I indicate my acceptance and delivery of this waiver and release. I acknowledge that I have been given an opportunity to prevent or correct any error in connection with this waiver form. If I have submitted this waiver form in error, I will immediately notify you of the error, revoke my signature as instructed, and refrain from participating in any event or activity to which the waiver applies, as provided in Section 204(b) of the Uniform Electronic Transactions Act.