MIKE FORCE TACTICAL AIRSOFT CLUB
2013 ASSUMPTION OF RISK AND GENERAL RELEASE
Print your name:_______________________________________________________________________Date: ________________
In order to participate in any MIKE FORCE Tactical Airsoft Club production, it is important that all persons involved be familiar with all aspects, rules and safety guidelines established for game play. Be aware that there will be media coverage, photos, video, etc… which will be covering this event. In addition, due to the nature of this activity, occasionally injuries and/or accidents do result from participation. In completing the information below, you not only agree to the release of all liability but also that you have reviewed all rules and safety guidelines presented above by MIKE FORCE Tactical Airsoft Club and will abide by said rules and safety guidelines. Failure to do so will result in immediate ejection from the game and escorting off the property without refund of fees paid.
ASSUMPTION OF RISK AND GENERAL RELEASE
I am aware that during this airsoft event in which I am participating or plan to participate in under the arrangement of
MIKE FORCE Tactical Airsoft Club, certain risks and dangers may exist, including but not limited to, insect bites, allergic reactions to poison oak/ivy/stinging nettles, the loss of teeth, “impact welts” or “blood wounds,” minor/serious eye injury or other serious risks and dangers caused by possible accident or illness in remote places without readily available medical attention.
I have read and understand this: ______________ (initial here)
In consideration of, and as part payment for, the right to participate in such activity and the services of MIKE FORCE Tactical Airsoft Club, I have and hereby do assume all of the above mentioned risks and dangers and will hold harmless MIKE FORCE Tactical Airsoft Club and all or any of its owners, directors, officers, and agents (including property owners) from all actions, causes of action, suits and any and all claims, demands and liabilities whatsoever, both in law and equity, which against
MIKE FORCE Tactical Airsoft Club and/or any of its owners, directors, officers, and agents (including property owners) I now have or may acquire arising out of or in connection with such activity. I further agree to use prudent safety rules as set forth by MIKE FORCE Tactical Airsoft Club. I understand that failure to abide by the aforementioned rules will result in immediate ejection from the game and escorting off the property without refund of fees paid.
Check the appropriate line:
__________ I am not aware of any aspects of my health/injury history which would prohibit or complicate participation for me.
__________ I am aware that the following aspects of my health (including injuries) could prohibit or complicate participation for me in this event:
CHILDREN/YOUTH UNDER 18 YEARS OF AGE
1) All children/youth ages 18 and under MUST wear full face protection at all times while on the playing field or in “live fire areas” of a MIKE FORCE Tactical Airsoft Club production.
2) All MIKE FORCE CLUB members are required to wear sealed tactical goggles as well as mouth protection while on the playing field or in “live fire areas” of a MIKE FORCE Tactical Airsoft Club production (teeth-guard must fully cover both the upper and lower teeth protecting them from impact).
I FURTHER RECOGNIZE THAT NO REPRESENTATIONS OR GUARANTEES ARE BEING MADE TO ME BY MIKE FORCE TACTICAL AIRSOFT CLUB AS TO MY OWN PROFICIENCIES, LEVELS ATTAINMENT OR MY ABILITIES TO ENGAGE IN SIMILAR ACTIVITIES WITHOUT SUFFERING INJURY IN THE FUTURE.
Additionally, signatures on this release form clarify the understanding that this event is being presented for MIKE FORCE Tactical Airsoft Club and said signatures do hereby release the participant’s likeness to be used for purposes of publications within or dealing with MIKE FORCE Tactical Airsoft Club and release MIKE FORCE Tactical Airsoft Club and all it’s constituents from paying revenues or royalties which result from said publications.
The terms hereof shall bind my heirs, executors, administrators and assigns, and shall serve as an assumption of risk and general release for all members of my family, including any minor children, participating in such activity.
Signature: ____________________________________________________________________Date: ___________________
Parent/Legal Guardian Signature: _________________________________________________ Date:___________________
PLEASE LEDGIBLY COMPLETE THE FOLLOWING EMERGENCY CONTACT INFORMATION:
(Name of Participant): ___________________________________________________ Age of Participant _________________
(Parent/Legal Guardian): __________________________________________________________________________________
City: ___________________________________________________________________State:__________ Zip ____________
Home Phone: ___________________________________ Work ________________________
Emergency Contact Name: ___________________________ Phone Number ______________
The information contained herein will not be used, sold or broadcast for the purposes of advertising, but will remain in the possession of MIKE FORCE Tactical Airsoft Club for the sole purposes stated above.
AGAIN, FAILURE TO COMPLETE AND SUBMIT THIS FORM TO MIKE FORCE TACTICAL AIRSOFT CLUB PERSONNEL BEFORE THE PRODUCTION/EVENT WILL RESULT IN IMMEDIATE EJECTION FROM THE PRODUCTION/EVENT AND ESCORTING OFF THE PROPERTY!
MIKE FORCE Tactical Airsoft Club