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WAIVER AND RELEASE OF LIABILITY FORM

​READ CAREFULLY; GEAUX SPLAT, LLC

In consideration of Geaux Splat, LLC furnishing services and/or equipment to enable me to participate in paintball 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 activities;

(b) my participation such activities and/or use of such equipment may result in my injury or illness including but not limited to bodily injury, 

disease strains, fractures, partial and/or total paralysis, serious injury, blindness, heat stroke, heart attack, death or other ailments that could 

cause serious disability; (c) these risks and dangers may be caused by the negligence of the owners, employees, officers or agents of Geaux

Splat, LLC; the negligence of the participants, the negligence of others, 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 equip-

ment, 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 Geaux Splat, LLC 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 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 Geaux Splat, LLC.  This waiver is good through __Dec 31st___________________, 2015

Medical Permission Authorizatio

​If the participant is minority age, the undersigned parent or guardian hereby gives permission for Geaux Splat, LLC to authorize emergency

medical treatment as may be deemed necessary for the child named below while participating in paintball games.

I have read the above waiver and release and by signing it agree it is my intention to exempt and relieve Geaux Splat, LLC from

Liability for personal injury, property damage or wrongful death caused by negligence or any other cause.





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