READ CAREFULLY
WAIVER AND RELEASE OF LIABILITY
MINIMUM AGE IS 10 YEARS OLD

In consideration of Sierra Supply LLC dba SplatBrothers PaintBall / AirSoft ®furnishing services and/or equipment to enable me to participate in PaintBall / 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 PaintBall / 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 Sierra Supply LLC, SplatBrothers PaintBall / AirSoft ®, Ronn Stern ® Direct, Ronn Stern ® PaintBall Camps, 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, officers, members, agents, employees, special promoters, or suppliers of Sierra Supply LLC, SplatBrothers PaintBall / AirSoft ®, Ronn Stern ® Direct, Ronn Stern® PaintBall Camps.
• I, on behalf of myself, my personal representatives and my heirs, hereby voluntarily agree to release, waive, discharge, hold harmless, defend and indemnify Sierra Supply LLC, SplatBrothers PaintBall / AirSoft ®, Ronn Stern ® Direct, Ronn Stern® PaintBall Camps, 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 Paintball / AirSoft equipment or my participation in Paintball / 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, members, employees, special promoters or suppliers of Sierra Supply LLC, SplatBrothers PaintBall / AirSoft ®, Ronn Stern ® Direct, Ronn Stern ® PaintBall Camps.
• I agree to be responsible for loss, theft, or damages to any SplatBrothers PaintBall ® or SplatBrothers Airsoft ™ equipment.
• In consideration for value received, receipt whereof is acknowledged, I hereby give Sierra Supply LLC, SplatBrothers PaintBall / AirSoft ®, Ronn Stern ® Direct, Ronn Stern® PaintBall Camps, and their photographers the absolute right and permission to publish, copyright and use pictures (including moving pictures) of me in which I may be included in whole or in part, composite or retouched in character or form: If the person photographed is under 18, I certify that I am his or her parent or legal guardian and I give my consent without reservation to the foregoing on his or her behalf.
• In consideration for value received, receipt whereof is acknowledged, I hereby give Sierra Supply LLC, SplatBrothers PaintBall / AirSoft ®, Ronn Stern ® Direct, Ronn Stern® PaintBall Camps a nonexclusive license to any and all photographic, film, or video images captured, taken, or developed from the SplatBrothers® Park and to the use by Sierra Supply LLC, SplatBrothers PaintBall / AirSoft ®, Ronn Stern ® Direct, Ronn Stern® PaintBall Camps of the images without limitation.
• I understand and agree that Sierra Supply LLC, SplatBrothers PaintBall / AirSoft ®, Ronn Stern ® Direct, Ronn Stern® PaintBall Camps is not responsible for the loss or theft of personal property.

I HAVE READ THE ABOVE WAIVER AND RELEASE AND BY SIGNING IT AGREE IT IS MY INTENTION TO EXEMPT AND RELIEVE SIERRA SUPPLY LLC, SPLATBROTHERS PaintBall / AirSoft ® , RONN STERN ® DIRECT, RONN STERN® PAINTBALL CAMPS, SPLATBROTHERS PaintBall / AirSoft ® STAFF, VOLUNTEERS, SUPPLIERS, SPECIAL PROMOTERS, LANDOWNERS OR ANY OTHER SUCH PERSON FROM LIABILITY FOR PERSONAL INJURY, PROPERTY DAMAGE OR WRONGFUL DEATH CAUSED BY NEGLIGENCE OR ANY OTHER CAUSE. THIS WAIVER EXPIRES 12/31/10 AT 11:59 PM.

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Signature

Age :_______________

Birthdate :______________

Today's Date :______________

PRINT Player’s Name:_______________________________________

Address City State Zip Code:__________________________________

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Emergency Contact Person:___________________________________

Emergency Phone Number:___________________________________

Email address:_____________________________________________

Signature of Parent/Guardian (if participant is less than 18yrs. Old)

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