Safeguard Form - National Paintball Games

National
Paintball
Games Belgium
National Paintball Games Belgium
Kattestraat 27
1785 Merchtem
Tel.: 052/37.54.74 – Fax : 052/37.54.70
Certificate of recognition on
Weapons and ammunition
Art. 1&2 law 03/01/1993, mod. 30/01/1991
Nr. /2/21/99.0008
Safeguard Form
(fill in block letters and to issue together with the identity card)
I, the undersigned ……………………………………………………………………………………………………………………
Address ………………………………………………………………………………………………………………….……………
Hometown ……………………………………………………………………………………………………………………………
Phone Number ……………………………………………………………………………………………………………………….
I give myself accountable to the fact that:
-
Paintball both mentally and physically intense game and that the effort required to play.
Paintball can be dangerous if one does not respect the safety rules as explained.
Paintbal the potentially poses to himself and others to injure
I acknowledge and agree that come:
-
I am fully aware of the risks linked to myself and others with regard to "paintball" and that there never what circumstances
therefore someone deliberately on the head and / or face will shoot
I mentally and physically capable efforts to be able to take the "paintball game" go hand in hand.
I will abide by the rules and the game of "paintball" and I will be playing according to instructions use, otherwise the
marshal has the right to zone me out of the game to remove.
I promise to wear eye-protectors, and not to do, as long as I live in an area where "paintball" is played. In case of damage to
this eye-protectors, I will immediately be replaced. I will be eye-protectors never decrease except with permission and
under the supervision of a "marshal" or in the security zone.
I know that damage to the eye are not insured and that I paintball National Games can not be liable to.
Waiver of any liability:
-
I hereby forever from any claims and liability that I could argue against National Paintball Games, the playground owners
or any other participant in the paintball game (regardless of the nature and cause of the injury)
I certify that voluntarily take part in "paintball". Regardless of the verdict and / or claim whatsoever, that would follow
during or after participation.
By signing this document I can use the BA insurance against physical accidents (excluding damage to the eye) closed by
National Paintball Games in the company AXA.
If I did not truthfully fill or illegible, I'm not insured.
Payment Agreement:
-
I agree that I am 375 € (three seventy-five €) will pay National Paintball Games, as the games that I rent, is not returned at
the end of the paintball session at National Paintball Games.
I have all the conditions of this document read and fully understood.
Filling preceded by "read and approved"
………………………………………………………………
Signature:
Date: ... .. / ... ... / ... ... ...