Paintball Consent form.

Name of Group Booking *

First

Last

Date & Time of Booking *

Date

Time

Information of the person partaking in the activity, If under the age of 16 this must be completed and signed by a parent or Guardian.

Name *

First

Last

Email *

Phone *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Date of Birth *

Occupation *

Medical Information. *

Please provide and medical history that may be relevant or required in the case of emergency. (asthma, allergies, ect.)

Name *

First

Last

Phone *

Relationship *

I confirm I have read and understood the Rules as outlined below. *

I understand and confirm that: *

Is the participant under 16 years of age? *

Name *

First

Last

Name of person signing. (Parent or Guardian if under 16)

Signature *

Date / Time on signing. *

Date

Time