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Customer I.D. For office use only UNDER 18s DISCLAIMER - To be completed by Parent or Guardian Parent/Guardian SURNAME Parent/Guardian FIRST NAME Parent/Guardian ADDRESS POSTCODE TEL# EMAIL DD Parent/Guardian DATE OF BIRTH MM YYYY FULL NAME OF CHILD Name of Group Organiser DD MM YYYY Date Of Birth Of Child Relationship to Child No Does the child have any medical condition/allergies or take any prescribed medicines? Yes If YES please give details: | | | | Activities: Paintball (10yrs+) Laser (6yrs +) Airsoft (11yrs +) Mini Paintball (8yrs+) Quad Trekking (11yrs+ 90cc - 16yrs+ 150cc) Inflatable Activities (8yrs+) Bush Craft (8yrs +) Air Pistol / Rifle Target shooting (11yrs+) Archery (10 yrs +) A-Ball (10yrs+) Team Building (11yrs+) Sling Shot Target Shooting (11yrs+) | | | | | Important - Please Read I hereby confirm that I am the parent or guardian of the Child; that I have parental responsibility for the Child and that I consent to the Child participating in the Activities at my sole risk. I confirm that I understand that risks and dangers exist in the Activities and that by participating in the same the Child may be exposed to various different hazards which may include but which will not be limited to fallen trees; dead branches; sharp objects, holes, burrows, trip and slip hazards and loose ground. I hereby confirm that in signing this form and allowing the Child to participate in the Activities, I shall bear sole responsibility for any loss, damage, cost or expense that the Child may suffer as a result of or in connection with the Activities other than where the same results from death or personal injury caused by the negligence of WDP Paintball Limited or one of its employees, agents or servants. I hereby confirm that I will ensure that the Child pays attention to all safety briefings that may be given in connection with the Activities and also to familiarise themselves with any safety notices, warnings or other information which may be displayed in connection with the Activities before the Child takes part in any of the Activities. I further confirm that I will ensure that the Child complies with all rules that may be in force or instructions which may be given to them from time to time in connection with any of the Activities and I will ensure that the Child adheres to any requirements that may be stipulated in connection with the equipment which must be worn whilst taking part in the Activities. I hereby acknowledge and accept that if the Child acts in breach of any of the rules which may be in force in connection with any of the Activities or if the Child fails to adhere to any instructions, briefings, notices or other requirements which are placed on them in connection with the Activities that the Child may be excluded from any further participation in the Activities with immediate effect and without any entitlement to a refund. I hereby agree that in consideration of allowing the Child to take part in the Activities that I shall indemnify WDP Paintball Limited together with its employees, agents and servants from any and all loss or liability that they may suffer or incur in connection with or as a result of the Child taking part in the Activities PLEASE NOTE: Persistent violation of our safety rules & policies will result in the exclusion of the offending players & quad riders from the activity. Unruly behaviour and abusive language will not be tolerated and could result in the termination of all activities. WDP Paintball Limited reserve the right to refuse admission. Alcohol is not permitted. I hereby confirm that the details set out above are correct and complete in all regards and that I have read, understood and accept all of the above. Signed Date Tick here if you don’t wish to receive occasional emails about special promotions, offers and other news. Thank you and enjoy your day at NPF BASSETTS POLE
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