TO: WILDERNESS SPRINGS PAINTBALL

1) I, the undersigned, wish to play paintball at Wilderness Springs Paintball. I recognize and understand that playing paintball (hereinafter called the "game") involves certain risks. Those risks include, but are not limited to, the risk of injury resulting from possible malfunction of the equipment used in the game and injuries from tripping or falling over obstacles in the game playing field. In addition, I recognize that the exertion of playing the game could result in injury or death.

2) Despite these and other risks, and fully understanding such risks, I wish to play the game and hereby assume the risks of playing the game. I also hereby hold harmless the "sponsors" and indemnify them against any or all claims, actions, suits, procedures, costs, expenses (including attorney's fees and expenses), damages and liabilities arising out of, connected with, or resulting from my playing the game, inclduing with limitation, those resulting from the manufacture, selection, deliver, possession, use or operation of such equipment. I hereby release the sponsors from any and all such liability, and I understand that this release shall be binding upon estate, my heirs, my respresentatives and assigns. I hereby certify to the sponsors that I am in good health and do not suffer from a heart condition or other ailment which could be exacerbated by the exertion involved in playing the game, I further certify that I am 18 years of age or older.

YOUR INITIALS: ________

RELEASE OF LIABILITY, WAIVER OF CLAIMS
AND INDEMNITY AGREEMENT

In consideration of participating in the game, I hereby agree as follows:

1. TO WAVE ANY ALL CLAIMS that I have or may in the future have against Wilderness Springs Paintball, their directors, officers, employees, agents and respresentatives (all of whom are hereinafter referred to as "the Releasees");

2. TO RELEASE THE RELEASEES from any all liability for any loss, damage, injury or expense that I may suffer or that my next of kin may suffer as a result of my participation in paintball due my any cause whatsoever, INCLUDING NEGLIGENCE ON THE PART OF THE RELEASEES;

3. TO HOLD HARMLESS AND INDEMNIFY THE RELEASEES from any and all liability for any damage to property of, or personal injury to, any third party, resulting from my participation in paint ball; and

4. That this agreement shall be effective and binding upon my heirs, next of kin, executors, administrators and assigns, in the event of my death.

I HAVE READ AND UNDERSTOOD THIS AGREEMENT, AND I AM AWARE THAT BY SIGNING THIS AGREEMENT I AM WAIVING CERTAIN LEGAL RIGHTS WHICH I OR MY HEIRS, NEXT OF KIN, EXECUTORS, ADMINISTRATORS AND ASSIGNS MAY HAVE AGAINST THE RELEASEES.

Date of signature _____ / _____ / _____

Signature of Witness: _____________________________________