Fill and Sign the Coast Guard Morale Well Being and Recreation Manual Form

Parent/Guardian Permission to Play Paintball and Hold Harmless AgreementAgreement made on __________________________ (date), between ________________________________________________ (Game Sponsor), a corporation organized and existing under the laws of the state of ___________________, with its principal office located at _______________________________________________________________ _____________________________________ (street address, city, county, state, zip code), referred to herein as Game Sponsor, and ____________________________ (Name of Player), of __________________________________________________________________________ ____________________ (street address, city, county, state, zip code), referred to herein as Player. Whereas, the undersigned Guardian is the natural or legal guardian of Player whose date of birth is __________________________ (date); and Whereas, Guardian covenants and represent to Game Sponsor that Player is at least twelve (12) years of age; and Whereas, Guardian has granted Player permission to play the game of paintball (the Game) conducted by the Game Sponsor; and Whereas, Game Sponsor requires the execution and delivery to it of this Permission and Hold Harmless Agreement in order for Player to be allowed to participate in the paintball activities of Game SponsorNow, therefore, for and in consideration of the mutual covenants contained in this agreement, and other good and valuable consideration, the receipt and sufficiency of which is hereby acknowledged, the parties agree as follows: 1. Guardian has read this Agreement and has been invited by the Game Sponsor to inspect the Game site and the conduct of a Game; and the Guardian recognize and understand that playing the Game involves running certain risks as expressed in this Agreement and observed by Guardian.2. Despite these and other risks, and fully understanding and conveying these risks to the Player, Guardian does hereby grant the Player permission to play the Game. 3. Guardian hereby releases Game Sponsor, ____________________________________ __________________________________________________________________ (list names) and their spouses, agents, or employees from any liability resulting from Player’s participation in Games in which Game Sponsor is in anyway involved. This part of the Agreement, as set forth in this Paragraph 3, shall be effective for a period of twelve (12) months, unless earlier rescinded in writing, from the date above first written. 4. Guardian , on behalf of Player, and individually, hereby assumes the entire responsibility and liability for any and all damage or injury of any kind or nature whatever (including death resulting therefrom) to all persons including the Player or otherwise and to all property, or loss of use thereof, caused by, resulting from, arising out of, or occurring in connection with Player’s preparation, instruction, viewing or playing the Game, whether or not conducted by the Game Sponsor. If any person including Player shall make a claim for any such damage or injury (including death resulting therefrom), whether such claim be based upon the actions or inactions of Game Sponsor or his/its agents, servants, or employees, including incidents of active or passive negligence or participation in the wrong, or upon alleged break of any statutory duty or obligation on the part of the Game Sponsor or his/its agents, servants, or employees, Guardian agrees to indemnify and save harmless the Game Sponsor, his/its agents, servants, or employees or other Game players from and against any and all loss, expenses, damage or injury that the Game Sponsor, the Player, the Game Sponsor’s agents, servants or employees or other Game players may sustain as the result of any such claim and the Guardian agrees to assume, on behalf of the Player, the Game Sponsor, his/its insurers or his/its agents, or employees, the defense of any action at law or equity which may be brought against the Game Sponsor, and expenses of whatever nature resulting therefrom and in connection therewith, and to pay on behalf of the Game Sponsor, his/its insurer and/or his agents, servants or employees upon their demand, the amount of any judgment that may be entered against the Game Sponsor, his/its insurer, and/or his/its agents, servants or employees in any such action. This part if the Agreement as set forth herein in this Paragraph 4 shall continue in effect notwithstanding the fact that the part of the Agreement set forth in Paragraph 3 above may have expired or been rescinded or that the Player no longer plays the Game . Witness my signature this the ______ day of _____________________, 20_____. _______________________________________ _______________________________________(Name & Signature of Parent or Guardian)