Please Use Google Chrome or Mozilla Firefox Microsoft Internet Explorer may not show Birthday Date Picker Step 1 of 4 25% Player's Name* First Last Player's Date of Birth*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Date of Reservation* Date Format: MM slash DD slash YYYY THIS IS A RELEASE OF LIABILITY -- READ BEFORE SIGNING NOTE: THIS FORM MUST BE READ AND SIGNED BEFORE THE PARTICIPANT IS ALLOWED TO TAKE PART IN ANY PAINTBALL EVENT. IN CONSIDERATION of being permitted to participate in any way in the sport and activities of paintball under the auspices of THE AMERICAN PAINTBALL LEAGUE, I acknowledge, appreciate, and agree that: 1. The risk of injury from the activity and weaponry involved in paintball is significant, including the potential for permanent disability and death, and while particular protective equipment and personal discipline will minimize this risk, the risk of serious injury does exist; 2. I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF ARISING FROM THE NEGLIGENCE of those persons released from liability below, and assume full responsibility for my participation; and, 3. I understand that the activities of paintball are physically and mentally intense. I understand the rules of play and will comply with all rules and regulations. If I observe any unusual or unnecessary hazard during my participation, I will bring such to the attention of the nearest official as soon as practical; and, 4. I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESS FROM LIABILITY THE AMERICAN PAINTBALL LEAGUE (APL), VALLEY CITY PAINTBALL CLUB, LLC, the owners and lessors of premises used to conduct the paintball activities, their officers, officials, agents and/or employees ("Releasees"), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property, WHETHER CAUSED BY THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, except that which is the result of gross negligence and/or wanton misconduct. 5. I understand and agree that this Release of Liability Agreement covers each and every paintball activity and event in which I participate hereafter. I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT. FOR PARTICIPANTS OF MINORITY AGE (UNDER AGE 18 AT TIME OF REGISTRATION) This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree not only to his/her release of the American Paintball League (APL) and all other Releasees but also to release and indemnify the Releasees from any and all liabilities incident to his/her involvement in these programs for myself, my heirs, assigns, and next of kin.Player's Age*Under Age 18Age 18 or OlderParent or Guardian's Name (If under age 18)*(UNDER AGE 18 AT TIME OF REGISTRATION) This is to certify that I, as parent/guardian with legal responsibility for this participant, do consent and agree not only to his/her release of the American Paintball League (APL) and all other Releasees but also to release and indemnify the Releasees from any and all liabilities incident to his/her involvement in these programs for myself, my heirs, assigns, and next of kin. First Last Enter Electronic Signature for Participant OR Under Age 18, Parent/Guardian must Sign*To submit an electronic signature, simply sign your name. Player's Street Address (Street address Only)*Zip Code (City)*Please enter a number from 10000 to 99999.Player's Phone*Player's Email* Enter Email Confirm Email Primary Emergency Contact Name*Primary Emergency Phone*Secondary Emergency Contact Name (Optional)Secondary Emergency Phone (Optional) Break Any Rule or Risk Another's Safety -*You Will Not Play - No RefundsAlways keep the ______ pointed down - When Not Playing.*BarrelALWAYS Keep your _____ off the trigger and safety on until you are going to Shoot*fingerALWAYS keep your _______ On while on the Playing Field - No Exceptions*GogglesGPS NAV. ERROR. Can be inaccurate by 1-2 miles*Entrance: Look for a Brown Road Sign across from a Cemetery down a long driveway through an open field headed into the woods (Separate from the Barns)Arrive a minimum of 30 Minutes Prior to Event Start Time*Late arrival is NOT made upAlcohol Policy* Absolutely No Alcohol On Property Before, During, or After Play (ORC 4301.62) CommentsThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.