Splat Tag, Inc.   651-488-7700

RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OR RISK, AND INDEMNITY AGREEMENT ("AGREEMENT")

Date______________________

In consideration of participating in the SPORT OF PAINTBALL I represent, that I understand the nature of this Activity and that I am qualified, in good health, and in proper physical condition to participate in such Activity. I acknowledge that if I believe event conditions are unsafe, I will immediately discontinue participating in the Activity.

I fully understand that this Activity involve risks of serious bodily injury, Including permanent disability, paralysis
and death, which may be caused by my own actions , or inactions, those of others participating in the event, the
conditions in which the event takes place, or the negligence of the "releases" named below; and that there may be
other risks either not known to me or not readily foreseeable at this time; and I fully accept and assume all such risks and all responsibility for losses, costs, and damages I incur as a result of my participation in the Activity

I hereby release, discharge, and covenant not to sue Splat Tag, Inc., its Respective administrators, directors, agents, officers, volunteers, and employees, other participants, any sponsors, advertisers, and if applicable, owners and lessors of premises on which the Activity takes place, (each considered one of the "RELEASES" herein) from all liability, claims, demands, losses, or damages on my account caused or alleged to be caused in whole or in part by the negligence or the "releases" or otherwise, including negligent rescue operations; and I further agree that if , despite this release, waiver of liability, and assumption of risk I, or anyone on my behalf, makes a claim against any of the Releases, I will indemnify, save, and hold harmless each of the releases from any loss, liability, damage, or cost which any may incur as the result of such claim.

I have read this RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY
AGREEMENT, understand that I have given up substantial rights by signing it and have signed it freely and without
any inducement and assurance of any nature and intend it be a complete and unconditional release of all liability to
the greatest extent allowed by law and agree that if any portion of this agreement is held to be invalid the balance,
notwithstanding, shall continue in full force and effect.

_________________________________________ Date of Birth___________________________________
Printed name of Participant

_________________________________________ Phone number _________________________________
Signature of Participant

PARENTAL CONSENT

AND I, the minor’s parent and /or legal guardian, understand the nature of the above referenced activities and the
minor’s experience and capabilities and believe the minor to be qualified to participate in such activity. I hereby
release, discharge, covenant not to sue and AGREE TO INDEMNIFY AND SAVE AND HOLD HARMLESS each
of the Releases from all liability, claims, demands, losses, or damages on the minor’s account caused or alleged to
have been caused in whole or in part by the negligence of the releases or otherwise, including negligent rescue
operations, and further agree that if ,despite this release, I, the minor, or anyone on the minor’s behalf makes a claim
against any of the above Releases, I WILL INDEMNIFY, SAVE AND HOLD HARMLESS each of the Releases
from any litigation expenses, attorney fees, loss liability, damage, or cost any Release may incure as the result of any
such claim.

________________________________________
Printed name of parent/guardian

________________________________________  Contact phone number _____________________________
Signature of parent/guardian