Agree and Acknowledge

I understand and acknowledge that if I proceed to register online and to sign the waiver electronically, that, under the Electronic Transactions Act, such electronic registration and electronically signed Waiver document will be valid and enforced in the same manner as a hand-signed document that exists in physical form and that a record or signature may not be denied legal effect or enforceability under law solely because it is in electronic form.

Basic Information

Use parent or guardian information if under 18

Contact Information

Use parent or guardian information if under 18

Minor Information

Enter the information for the children for which you are responsible for:

In consideration of being permited to participate in any activities including but not limited to, playing, using the premises of, renting and operationg equipment leased, sanctioned and/or operated by the above named vendor, I fully understand, acknowledge, and agree that; (a) risks and dangers exist in my use of leased equipment and my participation in any activity; (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, sprains, fractures, partial and/or total paralysis, eye injury, blindness, heat stroke, heart attack, death, or other ailments that could cause serious disability; © these risks and dangers may be caused by the negligence of the officers or agents of BALLAHACK AIRSOFT LLC, the negligence of the participants, the negligence of others, accidents, breaches of contract, the forces of natures such as snakes or other causes.

WATER HAZARD WARNING: There are numerous bodies of water that are over 10 FT. DEEP in most locations; USE EXTREME CAUTION! 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 of other conduct of the officers and agents of BALLAHACK AIRSOFT LLC. I, on behalf of myself, my personal representatives and my heirs, hereby voluntarily agree to release, waive, discharge, hold harmless, defend and indemnify BALLAHACK AIRSOFT LLC, and its agents and officers and property owners 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 leased equipment or my participation in activities at 2900 BALLAHACK ROAD, CHESAPEAKE, VA, 23322 . 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 conducts by the agents or officers of BALLAHACK AIRSOFT LLC, and its property owners.

THIS IS A RELEASE, READ BEFORE SIGNING: I am at least 18 years of age, and have executed this Agreement on the day, month, and year written above. Further, by signing, I declare that I have read, understood, and agree to BALLAHACK AIRSOFT LLC’s “Safety Rules and Rules of Engagement”. If I am less than 18 years old,

GUARANTOR’S AGREEMENT: My signature below indicates that I guarantee all of the obligations imposed upon the minor participant under this Agreement and have read and fully understand all of its items. I also agree to give permission to BALLAHACK AIRSOFT LLC to authorize emergency medical treatment as may be deemed necessary for the child named below. In addition, I declare I have read and understand BALLAHACK AIRSOFT LLC’s “Safety Rules”, and our mandatory Eye and Face Protection Systems (located at:


By entering my name below and clicking the “Submit Waiver” button below, I indicate my acceptance and delivery of this waiver and release. I acknowledge that I have been given an opportunity to prevent or correct any error in connection with this waiver form. If I have submitted this waiver form in error, I will immediately notify you of the error, revoke my signature as instructed, and refrain from participating in any event or activity to which the waiver applies, as provided in Section 204(b) of the Uniform Electronic Transactions Act.