Chicken's

Chicken’s

THIS IS A RELEASE OF LIABILITY -- READ BEFORE SIGNING

NOTE: THIS FORM MUST BE READ AND SIGNED BEFORE THE PARTICIPANT IS ALLOWED TO TAKE PART IN ANY AIRSOFT EVENT SPONSORED OR HOSTED BY “Chicken’s”.

 

PARTICIPANT'S NAME                                                                        DATE OF BIRTH                  

 

IN CONSIDERATION of being permitted to participate in any way in the sport and activities of airsoft at Chicken’s, I acknowledge, appreciate, and agree that:

*1. The risk of injury from the activity and weaponry involved in airsoft is significant, including the potential for permanent disability and death, and while particular protective equipment and personal discipline will minimize this risk, the risk of serious injury does exist;

*2. 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.

*3. I understand that the activities of airsoft are physically and mentally intense. I understand the rules of play and will comply with all rules and regulations of Chicken’s. 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.

*4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS Chicken’s, the owners and leasers of premises used to conduct the airsoft activities, their officers, officials, agents and/or employees ("Releases"), 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.

*5. I understand and agree that this Release of Liability Agreement covers each and every airsoft activity or event SPONSORED or HOSTED BY Chicken’s in which I participate hereafter for one year.

*6. I further understand that Chicken’s carries no medical insurance for the protection of participants. Any insurance coverage existing with respect to Chicken’s, shall not alter the terms of this waiver nor impose any liability on Chicken’s, its owners or operators. Any and all disputes legal or otherwise shall be resolved by arbitration.

*7. I hereby grant permission to Chicken’s to use my photographic likeness in all forms and media for advertising, trade, and any other lawful purposes.

     I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

 

Print Name,                                                                             Date Signed,                      

 

PARTICIPANT’S SIGNATURE,                                                                                                

 

Street Address,                                                                                City,                            

 

State,                   Zip Code,                                        Email.                                                

 

FOR PARTICIPANTS OF MINORS : (UNDER AGE 18 AT TIME OF REGISTRATION)

This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree not only to his/her release of Chicken’s. and all other Releasees but also to release and indemnify the Releasees from any and all liabilities incident to his/her involvement in these programs for myself, my heirs, assigns, and next of kin.

 

X                                                                                              Date Signed,                           

PARENT/GUARDIAN'S SIGNATURE

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