3919 Cairo Road
Paducah KY 42001
(Exit 3 off I-24)

Phone: 270-443-3758
Toll-free: 877-772-3006
Fax: 270-442-5022

Paintball Field Consent & Liability Waiver


Fill Out, Print, and Bring to Paintball Field

Paducah Shooter Supply
3919 Cairo Road
Paducah KY 42001
Or Fax to: (270) 442-5022

Name: 

Address:

Phone:

Birthdate: 

Driver's License #: 

I hereby certify that the above information is true and that I have read and understand the rules for safety and field conduct ant that I agree to comply with them at all times under penalty of removal from the playing field for violation thereof.

I, the undersigned, release Paducah Shooter Supply, Inc., its officers, and McCutchen Farms Ltd., its owners, of any and all property used by me, from any liability for any damages, loss of property, or personal injury occuring to myself or my family and my property, and agree not to file any action at law against said organization or individuals on account of any injury to myself or my family which is caused by our negligence or failure to obey the rules an regulations of Paducah Shooters Supply, Inc. and/or McCutchen Farms Ltd.

The undersigned also agrees not to file any action at law against said company and organization, it's officers and officials, other players and guests, for any damages, loss of property, or personal injury occuring to myself or any member of my family while participating in games, matches, practice or competitions.

Signature of Player : ______________________________ Date:__________

Signature of Parent or Legal Guardian
If Participant is Under 18 Years Old : ______________________________ Date:__________



Copyright © 2004-2006 - Paducah Shooters Supply