Waiver & Release of Liability
In consideration of CQB City, LLC furnishing services and /or equipment to enable me to participate in Airsoft games, I agree as follows:
I fully understand and acknowledge that; (a) risks and dangers exist in my use of Airsoft equipment and my participation in Airsoft activities; (b) my participation in such activities and/or use of such equipment may result in my injury or illness including but not limited to bodily injury, disease strains, fractures, partial and/or total paralysis, eye injury, blindness, heat stroke, heart attack, death or other ailments that could cause serious disability; (c) these risks and dangers may be caused by the negligence of the owners, employees, officers or agents of CQB City, LLC; the negligence of the participants, the negligence of others, accidents, breaches of contract, the forces of nature or other causes. These risks and dangers may arise from foreseeable or unforeseeable causes; and (d) by my participation in these activities and/or use of equipment, I hereby assume all risks and dangers and all responsibility for any losses and/or damages, whether caused in whole or in part by the negligence or other conduct of the owners, agents, officers, employees of CQB City, LLC, or by any other person.
I, on behalf of myself, my personal representatives and my heirs, hereby voluntarily agree to release, waive, discharge, hold harmless, defend and indemnify CQB City, LLC and it’s owners, agents, officers and employees from any and all claims, actions or losses for bodily injury, property damage, wrongful death, loss of services or otherwise which may arise out of my use of Airsoft equipment or my participation in Airsoft activities, I specifically understand that I am releasing, discharging and waiving any claims or actions that I may have presently or in the future for the negligent acts or other conduct by the owners, agents, officers or employees of CQB City, LLC.

I HAVE READ THE ABOVE WAIVER AND RELEASE AND BY SIGNING IT AGREE IT IS MY INTENTION TO EXEMPT AND RELIEVE CQB City, LLC FROM LIABILITY FOR PERSONAL INJURY, PROPERTY DAMAGE OR WRONGFUL DEATH CAUSED BY NEGLIGENCE OR ANY OTHER CAUSE.

CQB CIty, LLC
Website: www.cqbcity.com
3200 E. Eight Mile Road; Stockton, CA 95202
* Note: When you are finished filling out this form online please click the submit button located at the bottom, thank you. *
* Note: If player is under the age of 18 a Parent/Guardian must fill out the form below *
* Note: Each player must have a separate from filled out & submitted *
Players Name
*Please put first & last name*
Your answer
Age
Your answer
Date of Birth
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Phone Number
Your answer
Players Signature
By entering your name in the field below, you are effectively providing your signature, indicating that all the information on this form is true and accurate, to the best of your knowledge.
Full Name
Your answer
Address
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City, State, Zip
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Today's Date
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DD
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YYYY
E-mail Address
(Optional) — Please provide a valid E-mail if you would like to be put onto CQB Cities mailing list.
Your answer
Signature of Parent or Guardian
(Required if participant is less than 18 years of age) By entering your name in the field below, you are effectively providing your signature, indicating that all the information on this form is true and accurate, to the best of your knowledge, and are authorizing the player listed above your permission to play.
Full Name
Your answer
Emergency Contact Information
Please fill out an emergency contact number and the name of the contact.
Emergency Phone Number
Your answer
Emergency Contacts Name
Your answer
* Note: This is a legal document; if any information on this document was falsified; CBQ City, LLC cannot be held liable *
* Note: When you are finished filling out this form online please click the submit button bellow, thank you. *
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