1. I am in good health and it is my responsibility to consult a physician before playing paintball.___________
2. I understand that even when all safety rules are followed, paintball in an inherently
dangerous activity; the risks include but are not limited to, being hit by a paintball,
equipment malfunctions, falling over/on natural and man-
3. Serious and permanent injury can result if I don’t wear approved safety goggles in any area where paintball guns maybe intentionally or unintentionally discharged. I will not remove my goggles on the playing field. ______________
4. If I remove my facemask for any reason whatsoever while on the playing field, I may be required to leave the facilities for the day with no monetary reimbursement. I will keep my goggles on while on the playing field. ______________
5. If I enter a safety area without the gun barrel covered with a barrel bag, I
may be required to leave the facilities for the day with no monetary reimbursement.
I will keep my air-
6. I will not kick, hit, push, or by any other means or manner destroy or alter any structure or part of the facilities or equipment in any purposeful manner. I will pay for the repair or replacement of said structure or equipment. ____________________
7. I assume responsibility for any equipment both personal or anything I may rent. Scary Creek Paintball Games, Inc. Is not responsible for the loss or damage of said property. _________________
8. I hereby waive, vacate, release and forever discharge all sponsors, organizers, property owners, proprietors, managers, supervisors, employees, and/or their agents, and all others connected to the paintball activities including but not limited to Scary Creek Paintball Games Inc. , for all damages hazards, personal injuries, claims, and/or liabilities whatsoever without limitation including attorneys fees and expenses they or I may incur after I have been a participant or spectator incidental or any way connected with or arising from my participating or observation in such activities including but not limited to the selling, manufacture, selection, delivery, possession, condition or operation of all involved equipment or grounds. _________________
DATE ____/____/______ PHONE NUMBER___________________________
SIGN YOUR NAME________________________________PRINT YOUR NAME____________________________________
PRINT YOUR ADDRESS____________________________________CITY________________________________________
STATE_________ ZIP_________________ADULT SIGNATURE IF YOU ARE UNDER 18 ____________________________
Scary Creek Paintball Games, Inc.
3411 Scary Creek Road Scott Depot, WV 25560 304-
THIS IS A LEGALLY BINDING DOCUMENT. READ IT CAREFULLY. IF YOU DO NOT
UNDERSTAND ANY PART, DO NOT SIGN AND CONSULT AN ATTORNEY.
PUT YOUR INITIALS ON THE LINE AFTER EACH ITEM
NO ONE ELSE HAS ACCESS TO THIS INFORMATION EXCEPT SCPG,INC.