Permission Slip and Injury Waiver
My son/daughter
(name) ________________________________ is 12 years old or older and has permission to go to Paintball Dave's Inc. and participate in the paintball games
on: (date)____________.
I understand that paintballs hurt
when you are hit by them. My child will receive bruises and welts. There is also the possibility of other injuries, for example, cuts, broken
bones, and severe ear and eye injuries, not excluding possible blindness. Severe
injuries are not common, but the possibility does exist.
I/We hereby indemnify and hold
harmless Paintball Dave's Inc., and it's agents and/or representatives from any injury, loss, liability or cost arising out of that
which is the subject of this permission slip, whether caused by negligence of Paintball Dave's Inc., it's
agents and / or representatives or not.
Signature of parent / legal guardian
X _________________________________
Date _________________________
Witness Signature
X__________________________________
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Permission Slip and Injury Waiver
My son/daughter
(name) _______________________________ is 12 years old or older and has
permission to go to Paintball Dave's Inc. and participate in the paintball games
on: (date)____________.
I understand that paintballs hurt
when you are hit by them. My child will receive bruises and welts.
There is also the possibility of other injuries, for example, cuts, broken
bones, and severe ear and eye injuries, not excluding possible blindness. Severe
injuries are not common, but the possibility does exist.
I/We hereby indemnify and hold
harmless Paintball Dave's Inc., and it's agents and/or
representatives from any injury, loss, liability or cost arising out of that
which is the subject of this
permission slip, whether caused by negligence of Paintball Dave's Inc., it's
agents and / or representatives or not.
Signature of parent / legal guardian
X _________________________________
Date _________________________
Witness Signature
X__________________________________
**********************************************************************************