National Sports Entertainment & Recreation Association
Industry Insurance Programs               
www.nsera.com/paintball
Middle Tennessee Paintball=MTP       Phone: (931) 334-9673
READ CAREFULLY
WAIVER AND RELEASE OF LIABILITY
In consideration of MTP 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 in 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, eye 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 MTP; the negligence of the participants, the negligence of others; accidents;
breached 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 equipment, 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 owner,
agents, officers, employees of MTP, 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 indemnify MTP and it’s owners, agents, officers, and
employees from any 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 may have presently or in the future for the negligent acts or other
conduct by the owners, agents, officers, or employees of MTP.
MEDICAL PERMISSION
AUTHORIZATION
If the participant is of minority age, the undersigned parent or guardian hereby
gives permission for MTP to authorize emergency 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 MTP FROM LIABILITY FOR
PERSONAL INJURY; PROPERTY DAMAGE OR WRONGFUL DEATH CAUSED BY
NEGLIGENCE OR ANY OTHER CAUSE.
_____________________________      ____         _____________     _______________
Print Name                                              Age            Date of Birth         Phone
__________________________    _______________________     __________________
Signature                                          Address                                    City, State, Zip
____________________  
                                                                                           
                                                                            
                                                               
Signature of Parent/Guardian                                                      _______________
                                                                                       Parent/guardian
                                                                                              phone
(If less than 18 yrs old)
______________________
Date