Farmington CQC Waiver

THIS IS A RELEASE OF LIABILITY – PLEASE READ BEFORE SIGNING In consideration of being permitted to participate in any way in the sport and activities of Airsoft, at Farmington CQB. I acknowledge, and give agreement to the following: 

1 – The risk of injury from the activity and weaponry involved in Airsoft may be significant, including the potential for permanent disability and death. While the particular protective equipment and personal discipline will minimized this risk, the risk of serious bodily harm continues to exist; 

2 – I KNOWINGLY, FREELY AND WILLINGLY ASSUME ALL SUCH RISKS, both known and unknown. THE ASSUMED RISK IS EVEN IF ARRISING FROM THE COMPLETE NEGLOGENCE of those persons released from liability below. I assume all full responsibility for participation; 

3 – I understand that the activity of Airsoft is physically and mentally intense. I understand the rules of play and will comply with all rules, regulations and the direction of all supervising staff. If I observe hazardous conditions of any kind, I will bring these conditions to the attention of the supervising staff; 

4 – I, for myself, and on behalf of my heirs, assign, personal representatives and next of kin, HERBY RELEASE AND HOLD HARMLESS ALL PARTICIPANTS IN Farmington CQB, the owner of the activity property, their heirs, and all officials, agents, officers and/or employees (“Releases”), WITH REPSECT 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; 

5 – I understand and agree that this release of Liability Agreement covers each and every Airsoft activity an event which I participate hereafter. 

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND THE TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT. I AGREE IT IS MY INTENTION TO EXEMPT AND RELIEVE THE RELEASEES AND ALL ASSOCIATED AGENTS FROM ALL LIABILITY FOR PERSONAL INJURY, PROPERTY DAMAGE OR WRONGFUL DEATH BY NEGLIGENCE OR ANY OTHER CAUSE. 

Participants Name:___________________________ Date of Birth:___________________ 

Participant’s Signature:_____________________________________________________ 

Date Signed:_____________ Phone#_________________________ Address:_____________________________________________________________________________ Emergency Phone#__________________________ Email:________________________________________________ 

Parent or Guardian Must Read This Form and Sign Below 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 the aforementioned individuals and Releases, but also to release and indemnify the Releases from any and all liabilities incident to his/her involvement in these programs for myself, my heirs, assignees, and next of kin. I also give my consent and permission to Farmington CQB agents to obtain on my behalf of myself or my minor child any emergency medical treatment in case of sickness, accident or injury and to secure such medical attention at my expense 

Parent/Guardian Name:_____________________________________ 

Parent/Guardian Signature/Phone#___________________________________________________ 

Date Signed:________________Email:______________________________________________