Guffie Coalition Wavier
APPLICATION AND WAIVER/RELEASE OF LIABILITY FOR PARTICIPATION AT GUFFIE COALITION/Joe dent ROAD AIRSOFT FIELD*
*Waiver for play on Guffie Coalition Play Days*
As a prospective participant in the sport of Airsoft, it is extremely
important that you have an understanding of the risks of personal injury
and/or death that are associated with the sport. The following is
intended to inform you of the general nature of those risks before your
participation begins. The following is not intended to be an exhaustive
discussion of those risks. Accordingly, should you have any questions
pertaining to the nature and extent of those risks you should question
the management of this field. Only after you have satisfied yourself as
to the nature and extent of the risks involved as a participant in
Airsoft should you sign this document. If Mr. Glauhn, owner of
this property does not have a waiver on file for any participant who is
on the field playing, then that person or persons does NOT have
permission to be on the property for any reason and shall be deemed to
be trespassing upon the property and the law will be called to handle
the situation. Even if there is no waiver on file for an individual,
then the body of the waiver contained herein shall be deemed the
governing body for said person in regards to personal or physical injury
either to the person himself or property. Trespassing charges may be
added on top of this action as well.
1. The sport of Airsoft is an inherently dangerous activity. The game
involves the use of high powered guns (air rifles) that fire plastic
pellets at high velocities. Without adequate protection these pellets
could break or penetrate the skin on impact. Should a pellet strike a
person in the eyes, ears, nose or any vital area of the body that is not
adequately protected, temporary or permanent injury or, in extreme
circumstances, death may occur.
*1a. Guffie Coalition uses the Guffie Coalition field for their own private
play dates. These play dates are in no way endorsed by any member of the
Guffie Coalition team, nor the owner of the land, except for allowing them and
their game participants to use the land and structures to play.
Guffie Coalition uses much different feet per second (fps) and bb
weight limit rules than that normally encountered on the Guffie Coalition field
and officially sanctioned Guffie Coalition events. There is the possibility of
significant danger to a person's body and head area if struck by a high
velocity, higher weight bb like those used on Guffie Coalition private
play dates, especially if safety gear is not worn at the time of impact.
By signing this Waiver/Release the undersigned (and, if applicable, his
or her guardian(s)) acknowledges that he/she has read the foregoing
disclosures of the additional risks and, further, agrees that he/she
assumes all such risks and will hold the owners, operators,
participants, and all of their agents and employees completely free and
harmless from any and all damages from physical injuries and/or death
which may result from the undersigned's participation whether outside or
inside any of the fields facilities.*
2. Participants play the game on rough and hazardous terrain. I/we
take absolutely no responsibility for the safety of the field.
If you play, you are assuming all risks involved and understand that the
field is provided in “as is” condition. The risk of injury OR gross
negligence on the part of the owner or other participant exists and
there remains the risk that a participant could be injured as a result
of the hazardous nature of the terrain, the structures, or the game itself.
3. The sport of Airsoft involves rigorous and strenuous physical
activity on the part of the participant. Accordingly, a person should
not participate in the sport if he or she is not in good physical
condition, or has any physical or mental illness or handicap which could
be worsened by such participation or make the participant more
vulnerable to physical injury or death. In some cases, players may be
exposed to plants or elements that could cause serious injury as a
result of an allergic reaction. Participant should consult with his/her
physician before engaging in this sport.
4. It shall be the responsibility of each participant to obey all rules
and utilize all safety equipment at all times. Safety equipment is
designed to minimize the risk of injury and/or death, but its proper use
does not guarantee that such injury will not occur. This field does not
employ the active use of referees or individuals whose duty it is to
maintain an active, vigilant watch during play. There is no stated
adult supervision on the field at any time. At no time while a
participant is on the field is there any stated person other than the
participant whose job it is to make sure that all safety rules and
regulations are followed. This is the responsibility of the individual
playing and absolutely no implications otherwise are being made contrary
to that option. By signing this waiver, you and your guardians are
stating that you fully understand that the participant and ONLY THE
PARTICIPANT is responsible for their safety while on this property.
By signing this Waiver/Release the undersigned (and, if applicable, his
or her guardian(s)) acknowledges that he/she has read the foregoing
disclosures of the risks and, further, agrees that he/she assumes all
such risks and will hold the owners, operators, participants, sponsors
and all of their agents and employees completely free and harmless from
any and all damages from physical injuries and/or death which may result
from the undersigned's participation whether outside or inside any of
the fields, facilities or geographical boundaries. Also, by signing this
waiver the participant and guardians listed agree to the same above
conditions should any damage arise to their physical or personal
property. Furthermore, by signing this waiver, you are stating that you
are of sound mind and body and FULLY understand the document which you
are signing. If parents or legal guardians are signing, they too, state
that they are of sound mind and body and are fully aware of the details
of this document and the risks involved with a child playing this sport.
They too, are also bound by any and all statements made within this
document. Parents or legal guardians are not required to remain on site
while their children are playing as long as the child is aged 14 years or
older, but if they choose to leave, they knowingly give up the right of
adult supervision of children on the premises. There is NO SPECIFIED
ADULT SUPERVISION ON THE FIELD AT ANY TIME. This means that even though
adults may be present during play, they are NOT there in any official
monitoring capacity and cannot be held accountable in such a capacity.

If participant is 17 years of age or under, his/her legal guardians must
also sign below:
________________________________________________________________
Participant’s Name (Please print):
________________________________________________________________
Participant’s Signature:
Date_____/_____/_____
________________________________________________________________
Legal Guardian’s Name (Please print):
________________________________________________________________
Legal Guardian’s Signature:
________________________________________________________________
Address:
________________________________________________________________
City: ______________________________________________ State: __________
Zip:_______
Phone: (________) ________ - _____________ DOB ___/___/___ Sex (Circle):
M / F
Participant Name: (Please print):
________________________________________________________________
I wish this to be an open dated waiver allowing the above person
permission to play anytime they are at the
playing field.
Legal Guardian / Participant Signature
_________________________________________________
Date_____/_____/_____.
If you wish to play airsoft on the Guffie Coalition field and if you are
wanting to play on *Guffie Coalition Play dates,* then you must sign
and date this waiver. This waiver also covers normal Guffie Coalition
play dates, but it includes a clause pertaining to the Guffiie Coalition
play dates. If you participate in an Guffie Coalition play date and I do
not have one of these waivers signed and dated by you and your legal
guardians, then you will be considered trespassing on private property.
we also need the medical waiver below the field waiver signed and turned in.


* 2012 MEDICAL RELEASE WAIVER*
*Guffie Coalition AIRSOFT FIELD*
* I/we being the legal guardians of______________________________________, a minor, do hereby appoint Guffie Coalition Airsoft, to act on my/ our behalf in the event of an emergency or in the event that I/ we cannot be contacted, to authorize, offer or refuse necessary treatment while on the property of the Guffie Coalition field. *
* I understand that I will be responsible for the payment of all costs incurred incident to such treatment. I will not hold Guffie Coalition Airsoft,
property owner, operators, participants, sponsors and all of their agents and employees responsible for any bodily, mental harm or omission that may arise from the participant utilizing the field, and I also agree not to hold responsible any of the above named for any outcome or omission that may arise from the offering of medical assistance to the participant. *
* I understand that there are no guarantees that trained medical staff will ever be on hand at any time and that any aid offered is done so strictly in the manner of a good samaritan.*
*Legal Signatures of all legal guardians:*
*_______________________________________________________________*
*_______________________________________________________________*
*_______________________________________________________________*
*_______________________________________________________________*
*Legal Signature of participant (even if under 18)*
*_______________________________________________________________*
Date_____/_____/_____.
I wish this to be an open dated medical release waiver allowing the above person permission to play anytime they are at the GUFFIE COALITION/WELLS ROAD Airsoft playing field during the 20112 season.
Legal Guardian / Participant Signature
_________________________________________________
_________________________________________________
Date_____/_____/_____.

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