APPLICATION AND WAIVER/RELEASE OF LIABILITY FOR PARTICIPATION AT BAD KARMA/ LEBANON AIRSOFT FIELD
Waiver for play on Nashville Airsoft Play Days
As a prospective participant in the sport of Airsoft, it is extremely important
that you have an understanding of the risks of personal injury and/or death
that are associated with the sport. The following is intended inform you
of the general nature of those risks before your participation begins. The
following is not intended to be an exhaustive discussion of those risks.
Accordingly, should you have any questions pertaining to the nature and
extent of those risks you should question the management of this field.
Only after you have satisfied yourself as to the nature and extent of the
risks involved as a participant in Airsoft should you sign this document.
If I (Mike Collinsworth, owner of this property) do not have a waiver on
file for any participant who is on the field playing, then that person or
persons does NOT have permission to be on the property for any reason and
shall be deemed to be tresspassing upon the property and the law will be
called to handle the situation. Even if there is no waiver on file for an
individual, then the body of the waiver contained herein shall be deemed
the governing body for said person in regards to personal or physical injury
either to the person himself or property. Tresspassing charges may be added
on top of this action as well.
1. The sport of Airsoft is an inherently dangerous activity. The game involves
the use of high powered guns (air rifles) that fire plastic pellets at high
velocities. Without adequate protection these pellets could break or penetrate
the skin on impact. Should a pellet strike a person in the eyes, ears, nose
or any vital area of the body that is not adequately protected, temporary
or permanent injury, or in extreme circumstances, death, may occur.
1a.
Nashville Airsoft uses the Bad Karma field for their own private playdates.
These playdates are in no way endorsed by any member of the Bad Karma team,
nor the owner of the land, except for allowing them and their game participants
to use the land and structures to play. Nashville Airsoft uses much different
feet per second (fps) and bb weight limit rules than that normally encountered
on the Bad Karma field and officially sanctioned Bad Karma events. There
is the possibility of significant danger to a person's body and head area
if struck by a high velocity, higher weight bb like those used on Nashville
Airsoft playdates, especially if safety gear is not worn at the time of
impact. By signing this Waiver/Release the undersigned (and, if applicable,
his or her guardian(s)) acknowledges that he/she has read the foregoing
disclosures of the additional risks and, further, agrees that he/she assumes
all such risks and will hold the owners, operators, participants, and all
of their agents and employees completely free and harmless from any and
all damages from physical injuries and/or death which may result from the
undersigned's participation whether outside or inside any of the fields
facilities.
2. Participants play the game on rough and hazardous terrain. This facility
takes absolutely no responsibility for the safety of the field. If you play,
you are assuming all risks involved and understand that the field is provided
in “as is” condition. The risk of injury OR gross negligence
on the part of the owner or other participant exists and there remains the
risk that a participant could be injured as a result of the hazardous nature
of the terrain, the structures, or the game itself.
3. The sport of Airsoft involves rigorous and strenuous physical activity
on the part of the participant. Accordingly, a person should not participate
in the sport if he or she is not in good physical condition, or has any
physical or mental illness or handicap which could be worsened by such participation
or make the participant more vulnerable to physical injury or death. In
some cases, players may be exposed to plants or elements that could cause
serious injury as a result of an allergic reaction.
4. It shall be the responsibility of each participant to obey all rules
and utilize all safety equipment at all times. Safety equipment is designed
to minimize the risk of injury and/or death, but its proper use does not
guarantee that such injury will not occur. This field does not employ the
active use of referees or individuals whose duty it is to maintain an active,
vigilant watch during play. There is no stated adult supervision
on the field at any time. At no time while a participant is on
the field is there any stated person other than the participant whose job
it is to make sure that all safety rules and regulations are followed. This
is the responsibility of the individual playing and absolutely no implications
otherwise are being made contrary to that option. By signing this waiver,
you and your guardians are stating that you fully understnad that the participant
and ONLY THE PARTICIPANT is responsible for their safety while on this property.
By signing this Waiver/Release the undersigned (and, if applicable, his
or her guardian(s)) acknowledges that he/she has read the foregoing disclosures
of the risks and, further, agrees that he/she assumes all such risks and
will hold the owners, operators, participants, sponsors and all of their
agents and employees completely free and harmless from any and all damages
from physical injuries and/or death which may result from the undersigned's
participation whether outside or inside any of the fields facilities or
geographical boundaries. Also, by signing this waiver the participant and
guardians listed agree to the same above conditions should any damage arise
to their physical or personal property. Furthermore, by signing this waiver,
you are stating that you are of sound mind and body and FULLY understand
the document which you are signing. If parents or legal guardians are signing,
they too, state that they are of sound mind and body and are fully aware
of the details of this document and the risks involved with a child playing
this sport. They too, are also bound by any and all statements made within
this document. Parents or legal guardians are not required to remain on
site while their children are playingas long as the child is aged 14 years
or older, but if they choose to leave, they knowingly give up the right
of adult supervision of children on the premises. There is NO SPECIFIED
ADULT SUPERVISION ON THE FIELD AT ANY TIME. This means that even though
adults may be present during play, they are NOT there in any official monitoring
capacity and cannot be held accountable in such a capacity.
If participant is 17 years of age or under, his/her legal guardians must
also sign below:
Legal Guardians Name (Please print): ________________________________________________________________
Legal Guardian Signature: ___________________________________________________________________________
Legal Guardians Name (Please print): _________________________________________________________________
Date_____/_____/_____
Witness:
_____________________________________________________________________
Participant Signature: ____________________________________________________________________________
Address: ____________________________________________________________________________
City: ______________________________________________ State: __________ Zip:_______
Phone: (________) ________ - _____________ DOB ___/___/___ Sex (Circle):
M / F
Participant Name: (Please print): ____________________________________________________________________
I wish this to be an open dated waiver allowing the above person permission
to play anytime they are at the BAD KARMA/ LEBANON Airsoft playing field.
Legal Guardian / Participant Signature
_________________________________________________
Date_____/_____/_____.
2007 MEDICAL RELEASE WAIVER
BAD
KARMA AIRSOFT FIELD
I/we
being the legal guardians of ______________________________________, a minor,
do hereby appoint BAD KARMA AIRSOFT (Mike Collinsworth), to act on my/ our
behalf in the event of an emergency or in the event that I/ we cannot be
contacted, to authorize, offer or refuse necessary treatment while on the
property of the Bad Karma Airsoft field.
I
understand that I will be responsible for the payment of all costs incurred
incident to such treatment. I will not hold Bad Karma Airsoft, Mike Collinsworth,
the owners, operators, participants, sponsors and
all of their agents and employees responsible for any bodily, mental harm
or omission that may arise from the participant utilizing the field, and
I also agree not to hold responsible any of the above named for any outcome
or omission that may arise from the offering of medical assistance to the
participant.
I
understand that there are no guarantees that trained medical staff will
ever be on hand at any time and that any aid offered is done so strictly
in the manner of a good samaritan.
Legal Signatures of all legal guardians:
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
Legal Signature of participant (even if under 18)
_______________________________________________________________
Date
_______________________________________________________________
I
wish this to be an open dated medical release waiver allowing the above
person permission to play anytime they are at the BAD KARMA/ LEBANON Airsoft
playing field during the 2007 season.
Legal Guardian / Participant Signature
_________________________________________________
_________________________________________________
Date_____/_____/_____.
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