Paintballing | Camp Mandaville

Paintball Consent Form

Parental Paintball Consent Form

Child's Name *

First

Last

Registering for paintball event *

June 15 from 1:00-4:00 pm

Parent Name *

First

Last

Parent Email *

Parent Phone *

2nd Emergency Contact Number

Liability Waiver *

Yes, I have read.

In consideration of being permitted to participate in any way in the sport and activities of paintball I acknowledge, appreciate, and agree that: The risk of injury from the activity and equipment involved in paintball 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. 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, I understand that the activities of paintball 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, I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS BCM INTERNATIONAL AND MANDAVILLE CAMP AND RETREAT CENTER, the owners and lessors of premises used to conduct the paintball activities, their officers, officials, agents and/or employees (“Releasees”), WITH RESPECT 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, except that which is the result of gross negligence and/or wanton misconduct. I understand and agree that this Release of Liability Agreement covers each and every paintball activity and event in which I participate hereafter. 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 to his/her release of BCM International/Mandaville Camp & Retreat Center and all other Releasees but also to release and indemnify the Releasees from any and all liabilities incident to his/her involvement in these programs for myself, my heirs, assigns, and next of kin.

Signature *

Clear Signature

By signing you are agreeing to the above waiver.

Paintball Rules *

Yes, I have read and agree to abide by rules.
Yes, child has read and agrees to abide by rules.

ANY VIOLATION OF THE SAFETY RULES WILL RESULT IN THE OFFENDING PLAYER BEING EJECTED FROM THE DAYS PLAY WITHOUT A REFUND ANSI certified full-faced paintball mask must be worn at all times. Players must wear mask whenever they leave the registration/staging area. At no time will a player be allowed to break the seal of the mask from around their face. Only ANSI certified full-faced paintball masks specifically approved for paintball are allowed at our field. *No shooting at the head or neck. Blind firing is not allowed either. Players may never intentionally fire at another player’s head or neck. Players must always be looking at their targets while shooting. * No shooting or dry firing in the neutral area or in the parking lot. Players may never discharge their markers anywhere with the exception of the target range or the particular playing field their game is being held on. * Barrel covers are required. Players may never remove their barrel cover unless at the target area or when told to do so by a referee. If you lose your barrel cover, point your marker at the ground and call for assistance from a member of the staff. * All markers must chronograph at 285 FPS or under. Players will be randomly checked throughout the day to ensure full compliance. * No climbing of tress, structures, through windows, or on bunkers. The only objects players are allowed to climb on are structures that have a staircase leading up them. * No physical contact. Players may never touch another player or their equipment. * Unauthorized equipment is not allowed on the playing field. Players are not allowed to bring onto the playing field any equipment deemed to be unsafe or not appropriate by the field operator. Players are never allowed to bring onto the field knives of any size, tools of any kind, paint grenades, paint mines, multiple paintball launchers, pyrotechnics, smoke grenades, or any type of explosives. * Avoid field hazards. Players should avoid all hazards such as fences, ruts, and vines. Players should report any field hazard to the field operator. * Players may never construct anything that may hinder the movement of other players. Players are not allowed to construct any sort of barricades or bunkers. * Smoking is not allowed. * Alcohol or drugs are not allowed on the premises, nor are players under the influence. * Verbal abuse and unsportsmanlike conduct will not be tolerated. Profanity, name calling, fighting, or anything else Mandaville Camp & Retreat Center deems to be inappropriate can be grounds for expulsion. Players ejected for rule violations will not be given a refund. * Do not disassemble the rental equipment. If you are experiencing difficulties with your equipment please bring it to the attention of a staff member. * Referees decisions on the field are final. Players are not allowed to argue with any referees. Our referees will be happy to discuss any call after the game if you need clarification on a rule. * Firing at wildlife (dogs, deer, squirrels, etc.) will result in immediate ejection from play and the offending player banned from the field for the rest of the day’s play.

Cost (Please bring cash or check to event) *

Basic Fee (includes 200 paintballs and equipment) - $15.00
Additional 100 paintballs - $5.00

Total

$0.00

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