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Nov 20, 2009, 7:42pm

IMPACT Forum :: Airsoft :: General Airsoft Discussion :: I.M.P.A.C.T. Release Form

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Topic: I.M.P.A.C.T. Release Form (Read 609 times)

Joker
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I.M.P.A.C.T. Release Form
« Thread Started on Aug 4, 2006, 12:34pm »

As of today (7/30/06) everyone that comes to an I.M.P.A.C.T. hosted skirmish/event has to have a release filled out before you can play. This has been needed for sometime and after recent events I feel that I.M.P.A.C.T. needs to be on top of things more than in the past. This is one of many things that will be changing for the better for the team and everyone that comes out and has a good time with us.

I have to say thanks to flyingcheeto for letting me modify Airsoft Louisville's form for our teams use.

You must read the team rules before you can sign the release. Read the rules here:
http://www.indianaaa.proboards59.com/ind....read=1154284566

Print one of these out, fill it out, bring it to the game. we'll have some blank ones out at the games if you don't have a printer or you forget to bring it. We'll keep them on record so you only have to fill it out once. Anyone thats under 18 has to have a parent/guardian sign the release as well. If anyone has any questions PM Joker.

Printing instrustions:
-highlight the release below
-click file, click print
-under "page range" make sure "selection" is selected
-click print

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THIS IS A RELEASE OF LIABILITY – READ BEFORE SIGNING
NOTE: THIS FORM MUST BE READ AND SIGNED BEFORE THE
PARTICIPANT IS ALLOWED TO TAKE PART IN ANY TEAM I.M.P.A.C.T. EVENT. PLEASE PRINT THIS FORM AND BRING WITH YOU.

PARTICIPANT’S NAME _______________________________________
CALL SIGN _________________________ DATE OF BIRTH ______________

IN CONSIDERATION of being permitted to participate in any way in the sport and activities of Airsoft under the auspices of Team I.M.P.A.C.T., I acknowledge, appreciate, and agree that:
1. The risk of injury from the activity and weaponry involved in Airsoft is significant, including the Potential for permanent disability and death, and while particular protective equipment and Personal discipline will minimize this risk; the risk of serious injury does exist;
2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE of those persons released from liability below, And assume full responsibility for my participation; and,
3. I understand that the activities of Airsoft are physically and mentally intense. I understand the Rules of play and will comply with all rules and regulations. If I observe any unusual or unnecessary hazard during my participation, I will bring such to the attention of the nearest official as soon as practical; and
4. I, for myself and on behalf of my heirs, assign, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS FROM LIABILITY TEAM I.M.P.A.C.T., the owners and lessons of premises used to conduct the Airsoft activities, their officers, officials, agents and/or employees(“Releases”), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss OR damage to person or property, WHETHER CAUSED BY THE NEGLIGENCE OR THE RELEASEES OR OTHERWISE, except that which is the result of gross negligence and/or Wanton misconduct.
5. I understand and agree that this Release of Liability Agreement covers each and every Airsoft Activity and event in which I participate hereafter.

I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGHT IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT.

X______________________________________________________
Date Signed __________________

Phone # ________________________________
E-mail Address ______________________________

Address ________________________________________________________________________

City ___________________________________ State ____________ Zip ____________

FOR PARTICIPATNS OF MINORITY AGE
(UNDER AGE 18 AT TIME OF REGISTRATION)
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 Team I.M.P.A.C.T. and all other 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, assigns, and next of kin.

X____________________________________________________
Date Signed __________________

Emergency Phone # ____________________________________________________

« Last Edit: Jul 24, 2009, 12:58pm by Joker »

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