Release Form
Please PRINT Clearly as this is an OFFICIAL document:
All fields must be filled out correctly before you can play.
Full Name: _____________SAMPLE_______________________________
Address: ____________________________________________________
City:_________________________ State: _________ Zip: _____________
Home Phone: _______________________ Cell: ______________________
Email: _______________________________________________________
I, the above named player, confirm that I have read and understood the SAFETY RULES as provided on site and therefore give my consent to the following:
I, the undersigned, understand and agree to play the game of paintball entirely at my own risk and recognize that there are such hazards as fallen trees, holes, and other natural hazards that can cause injury and that paintballs fired can bruise and break the skin. I, the undersigned player, believe myself to be physically fit and able to participate in the game of paintball and recognize that a high level of exertion may be required. I shall at all times abide by the SAFETY RULES as provided as well as any further instructions or rules that may be imposed at the time of play. Must be 18 or have parent permission.
Signed: _______________________________________________
Date : _________________________________________
Lake Riley Paintball Club 2008