WAIVER AND RELEASE OF LIAVILITY FORM

WAIVER AND RELEASE OF LIABILITY FORM
RELEASE OF LIABILITY, WAIVE OF CLAIMS, ASSUMPTIONS OF RISK AND
INDEMNITY AGREEMENT
BY SIGNING THIS DOCUMENT YOU WILL WAIVE CERTAIN LEGAL RIGHTS,
INCLUDING THE RIGHT TO SUE
To:
CAMERON SPEEDWAY AND AMUSEMENTS INC/ A/O SHAYNE CAMERON
Assumption of Risk:
1.
2.
I, the undersigned, wish to play Paintball/Speedball/splatmaster; I recognize and understand that playing
Paintball/Speedball/splatmaster (hereafter call the “Games”) involves certain risks. Those risks include, but are not
limited to, the risk of injury resulting from possible malfunction of the equipment used in the games and injuries
resulting from tripping or falling over obstacles in the games playing fields (s). In addition, I recognize that the exertion
of playing the games could result in injury or death.
Despite these and other risks, and fully understanding such risks, I wish to play the Games and hereby assume the risks
of playing said games. I hereby hold harmless the “Sponsors” and indemnify them against any or all claims, actions
suits, procedures, cost expenses (including attorney’s fees and expenses), damages and liabilities arising out of,
connected with, or resulting from playing the Games, including without limitation, those resulting from the manufacture,
selection delivery, possession, use or operation of such equipment. I hereby certify to the Sponsors that I am in good
health and do not suffer from a heart condition or other aliments/conditions which could be exacerbated by the exertion
involved in playing the Games, I further certify that I am 18 years of age or older.
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(INITIALS)
RELEASE OF LIABILITY, WAIVER OF CLAIMS AND INDEMNITY AGREEMENT
In consideration of participating in the “Games”, I hereby agree as follows:
TO WAIVE ANY AND ALL CLAIMS that I have or may in the future have against CAMERON SPEEDWAY AND
AMUSEMENTS INC. Their directors, officers, employees, agents and representatives (all of whom are hereinafter
referred to as “the Release’s”);
2. TO RELEASE THE RELEASEES from any and all liability for any loss, damage, injury or expense that I any suffer
or that my next of kin may suffer as a result of my participation in Paintball/Speedball/splatmaster due to any cause
whatsoever, INCLUDING NEGLIGENCE ON THE PART OF THE RELEASEES;
3. TO HOLD HARMLESS AND INDEMNIFY THE RELEASEES from any and all liability from any damage to
property of, or personal injury to, any third party, resulting from my participation in Paintball/Speedball/splatmaster; and
4. That this Agreement shall be effective and binding upon my heirs, next of kin, executors, administrators and assigns, in
the event of my death.
1.
I HAVE READ AND UNDERSTOOD THIS AGREEMENT, AND I AM, AWARE THAT BY
SIGNING THIS AGREEMENT I AM WAIVING CERTAIN LEGAL RIGHTS WHICH I OR
MY HEIRS, NEXT OF KIN, EXECTORS, ADMININSTERATORS AND ASSIGNS MAY
HAVE AGAINST THE RELEASEES.THIS APPLIES FOR EACH TIME THE MEMBER
USES THE FIELD.
___________________________________
_______________________________________
(Please Print Name Clearly)
Date of Birth
___________________________________
_______________________________________
Address
PARENT/GUARDIAN SIGNATURE -- IF PARTICIPANT IS
LESS THAN 18 AGREES TO WAIVE SIGNING OF WAIVER
EACH TIME PARTICIPANT USE THE FIELD –INITIAL
AUTHORIZATION IS REQURED ONLY, AND IS BINDING FOR
DURATION OF MEMBERSHIP ONLY.
______________________________________________
City/Province
Postal Code
____________________________________________________
Witness
X_____________________________
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Participant’s Signature
Date Signed
PLEASE READ CAREFULLY!
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EXPIRY DATE