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 MCcalla airsoft field waivers/forms

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joshuaearlwade
2nd lieutenant
2nd lieutenant


Posts: 776
Join date: 2008-09-22
Age: 21
Location: mccalla alabama

PostSubject: MCcalla airsoft field waivers/forms   Wed Oct 29, 2008 2:33 am

READ CAREFULLY
WAIVER AND RELEASE OF LIABILITY
In consideration of The Mccalla airsoft field furnishing services and/or equipment to enable me to participate in
Airsoft games, I agree as follows:
I fully understand and acknowledge that; (a) risks and dangers exist in my use of Paintball/airsoft
equipment and my participation in Airsoft activities; (b) my participation in such activities and/or
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 The Mccalla airsoft field ; 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 or in part by the
negligence or other conduct of the owners, agents, officers, employees of The Mccalla airsoft field , 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 The Mccalla airsoft field 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 Airsoft equipment or
my participation in Airsoft 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 Airsoft Alabama . This waiver is good through 5/10/2009.
MEDICAL PERMISSION AUTHORIZATION
If the participant is of minority age, the undersigned parent or guardian hereby gives
permission for The Mccalla airsoft field to authorize emergency medical treatment as may be deemed necessary for
the child named below while participating in Airsoft games.
I HAVE READ THE ABOVE WAIVER AND RELEASE AND BY SIGNING IT AGREE IT IS MY INTENTION TO
EXEMPT AND RELIEVE ABCD FROM LIABILITY FOR PERSONAL INJURY, PROPERTY DAMAGE OR WRONGFUL
DEATH CAUSED BY NEGLIGENCE OR ANY OTHER CAUSE.
__________________________________ __________ ________________ ________________________
Print Name
Age
Date of Birth
Phone
__________________________________ ____________________________ ________________________
Signature
Address
City, State Zip
______________________________________________ __________________________________________
Signature of Parent/Guardian
(if less than 18 years old)
E-mail
Date: ___________________________________
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joshuaearlwade
2nd lieutenant
2nd lieutenant


Posts: 776
Join date: 2008-09-22
Age: 21
Location: mccalla alabama

PostSubject: Minor waiver/gaurdian form-MCcalla airsoft field   Wed Oct 29, 2008 2:34 am

I, _____________________________________________________, the parent of or legal guardian of
__________________________________________, a minor, do hereby authorize any one or more of
_____________________________________, ________________________________________or
______________________________, as agents for myself in my absence or incapacitation to consent to
any x-ray examination and anesthetic, medical or surgical diagnosis or treatment and medical care which is
deemed advisable by and is to be rendered under the general or special supervision of any physician or
surgeon licensed under the provisions of the Medical Practice Act on the medical staff of any hospital
whether or not such diagnosis or treatment is rendered at the office of said physician or at said hospital.
It is understood that this authorization is given in advance of any specific diagnosis, treatment or hospital
care being required but is given to provide authority and power on the part of the aforesaid agents to give
specific consent to any and all such diagnosis, treatment or hospital care which aforementioned physician
in the exercise of his or her best judgement may deem advisable.
I hereby authorize any hospital which has provided treatment to the above-named minor to surrender
physical custody of such minor to the above-named agents upon the completion of treatment.
These authorizations shall remain effective until ___________________, ______________.
Signature of Parent or Legal Guardian: _____________________________________________
Date: ________________________________________________________________________
Please note any specific health plan or insurance information such as membership or policy numbers
on the back of this form.
Copies of this form, duly executed, should be in the possession of the named minor; at least one adult
named in the document and present at the event; and the parent or guardian executing the Medical
Authorization.


STATE OF _______________________________
COUNTY OF _____________________________
SUBSCRIBED AND SWORN TO before me this ___________ day of ________________, 20 ________
________________________________________ (notary seal)
Notary Public
My Commission Expires: ____________________
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