Paintball Release Form

Michiana Christian Service Camp

WAIVER AND RELEASE OF LIABILITY

READ CAREFULLY

In consideration of Michiana Christian Service Camp (M.C.S.C.) furnishing an outdoor environment to enable me to participate in paint ball games, I agree as follows:

I fully understand and acknowledge that; (a) risks and dangers exist in my participation and use of borrowed equipment in paint ball activities; (b) my participation in such activities may result in my injury or illness; including but not limited to; bodily injury, 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 M.C.S.C., nearby land owners, equipment suppliers or distributors; 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 borrowed 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 or other conduct of the owners, agents, officers, employees of M.C.S.C., 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 M.C.S.C. and it's owners, agents, officers and employees, suppliers, land owners, or equipment distributors 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 paint ball equipment or my participation in paint ball activities, I specifically understand that I am releasing, discharging and waiving any claims or actions that I may have presently or in the future for the negligent acts or other conduct by the owners, agents, officers or employees of M.C.S.C.

I understand management or my group sponsors, by its sole discretion, may terminate my participation at any time if I fail to abide by the Rules, Terms and Conditions of Participation. Management or group sponsors also reserve the right to modify or cancel paint ball activities due to unfavorable weather conditions or technical difficulties.

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

Participant Signature _____________________________________ Date ___________

Signature of Parent/Guardian _______________________________Date ___________ (REQUIRED for all participants under 18 years old)