Highlight the Waiver and then print.
XTREME PAINTBALL & LASER TAG
Release of Liability, Waiver of Claims, Assumption of Risk, and Indemnity
Agreement
PLEASE READ CAREFULLY BEFORE SIGNING. THIS IS A LEGAL DOCUMENT.
1. Assumption of Risk
I understand and acknowledge that these Activities involve inherent risks, including but not limited to:
Slips, trips, and falls on uneven terrain or obstacles. Impact from paintballs, splatterballs, or laser tag
equipment. Equipment malfunction or misuse. Physical exertion which may cause injury. I freely and
voluntarily assume full responsibility for all such risks, known and unknown, even if arising from the
negligence of the Facility, its owners, employees, or agents.
2. Release of Liability
I hereby release, waive, discharge, and hold harmless Xtreme Paintball & Laser Tag, its owners,
employees, volunteers, and agents from any and all liability, claims, demands, actions, or causes of
action arising out of or related to any loss, damage, or injury, including death, that I may sustain while
participating in the Activities, whether caused by negligence or otherwise.
3. Indemnification
I agree to indemnify and hold harmless the Facility from any loss, liability, damage, or costs, including
court costs and attorney’s fees, that may occur due to my participation in the Activities.
4. Medical Authorization
In the event of injury, accident, or illness, I consent to emergency medical treatment deemed necessary
and agree to be financially responsible for any related medical costs.
5. Safety Rules
I agree to follow all posted rules, verbal instructions, and safety guidelines provided by staff. I
understand failure to comply may result in removal from the Facility without refund.
6. Minors
If the participant is under 18, this agreement must be signed by a parent or legal guardian. By signing,
the parent/guardian agrees to all terms on behalf of the minor.
Participant’s Name (print): ___________________________________________
Signature: _________________________________________ Date: ___________
Parent/Guardian’s Name (if under 18): ________________________________
Signature: __________________________________________ Date: ___________
Xtreme Paintball and Laser Tag
90 Tucker Mountain Road
Dover, AR 72837
479-280-4009
For it is you who light my lamp; the LORD my God lightens my darkness. Psalm 18:28