No Allegiance Airsoft

2009 MEDICAL RELEASE WAIVER, BAD KARMA AIRSOFT FIELD, FOR NO ALLEGIANCE PLAYDATE

I __________________________________, a legal adult (18 years of age and older), do hereby appoint No Allegiance Officials (David Smith / Steven Byrd), to act on my behalf in the event of an emergency or in the event that I am unable (being of unsound mind or body) to authorize, offer, or refuse necessary treatment while on the property of the Bad Karma Airsoft field. I understand that I will be responsible for the payment of all costs incurred incident to such treatment. I the undersigned, release Bad Karma Airsoft, Mike Collinsworth, David Smith, Steven Byrd, No Allegiance, the owners, operators, participants, sponsors and all of their agents and employees from any and all responsibilities for any bodily, mental harm, or omission that may arise from my utilizing the field. By my below signature I agree that I release any and all of the above named, for any outcome or omission that may arise from the offering of medical assistance to myself. 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. By Signing, I wish this to be an open dated medical release waiver allowing the Minor listed permission to play anytime they are at the BAD KARMA/ LEBANON Airsoft playing field during the 2009 No Allegiance season.

Participant Name __________________________________ Signature ______________________________Date _____/_____/______

Make sure you have the correct Waiver and Medical Release for your corresponding age.

Step:4 Read, Print, and Fill Out the ”2009 MEDICAL RELEASE WAIVER BAD KARMA AIRSOFT FIELD FOR NO ALLEGIANCE PLAYDATE”

Step5: Bring Filled out, signed and dated forms to the next No Allegiance Airsoft Playdate.