INDOOR EXTREME SPORTS ONLINE WAIVER FORM

Please fill out your information below, read the waiver, digitally sign, then hit the "SUBMIT" button.

YOU MUST BE 18 OR OLDER TO SUBMIT THIS FORM, IF NOT PLEASE HAVE YOUR PARENT OR GUARDIAN SUBMIT THIS FORM FOR YOU.

YOUR I.P. ADDRESS WILL BE RECORDED UPON SUBMITTING THIS FORM.

Player's Name
PLAYERS'S DATE OF BIRTH*
A contact number other than your own

Pick a group name and have all players use this name, eg. Rockets, Smith Party, etc...
I AGREE*
You must agree by checking the box.
Use your mouse or finger to draw your signature above ....................................................................................
Use your mouse or finger to draw your signature above ....................................................................................

A Printable Copy of Your Waiver will be E-Mailed to the Address you provided.

When ready Click on the "SUBMIT" button below. 

You'll know your submission is good when the screen reloads to a new blank waiver.

Thank You

 

 INDOOR EXTREME SPORTS INC. & INDOOR EXTREME SPORTS SI LLC. WAIVER AND RELEASE OF LIABILITY Paintball & LaserTag        In consideration of Indoor Extreme Sports Inc.  & INDOOR EXTREME SPORTS SI LLC. (herein referred to as IESI) furnishing services and /or equipment to enable me to participate in paintball and laser tag games, I agree as follows:I fully understand and acknowledge that; (a) risks and dangers exist in my use of Paintball equipment and my participation in Paintball and Laser Tag 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,fractures1 partial and/or total paralysis, eye injury, blindness, heat stroke, heart attack, death or other ailments thatcould cause serious disability; (c) these risks and dangers may be caused by thenegligence of the owners, employees, officers or agents of IESI ; 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 IESI , 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 IESI 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 equipment or my participation in Paintball 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 IESI . Furthermore I hereby give IESI. the absolute and irrevocable right and permission with respect to the photographs/videos that he/she has taken of myself or my minor child in which he/she may be included with others:a) To copyright the same in the IESI’s name or any other name that he/she may select;b) To use, re-use, publish and re-publish the same in whole or in part, separately or in conjunction with other photographs, in any medium now or hereafter known, and for any purpose whatsoever, including (but not by way of limitation) illustration, promotion, advertising and trade, and the Internet and; I hereby release and discharge IESI from all and any claims and demands ensuing from or in connection with the use of the photographs/videos, including any and all claims for libel and invasion of privacy.This authorization and release shall inure to the benefit of the legal representatives, licensees and assigns of IESI as well as the person(s) for whom he/she took the photographs.  I HAVE READ THE ABOVE WAIVER AND RELEASE AND BY SIGNING IT AGREE IT IS MY INTENTION TO EXEMPT AND RELIEVE IESI FROM LIABILITY FOR PERSONAL INJURY PROPERTY DAMAGE OR WRONGFUL DEATH CAUSED BY NEGLIGENCE OR ANY OTHER CAUSE.

What are you playing?*
You must check one of the listed activities.