Gamepod Combat Zone Inc.
RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OR RISK, AND
INDEMNITY AGREEMENT (“AGREEMENT”)

Date ____________________

In consideration of participating in the SPORT OF AIRSOFT at Gamepod Combat Zone Inc. I represent, that I understand the nature of this Activity and that I am qualified, in good health, and in proper physical condition to participate in such Activity. I acknowledge that if I believe event conditions are unsafe, I will immediately discontinue participating in the Activity. I fully understand that this Activity involve risks of serious bodily injury, including permanent disability, paralysis and death, which may be caused by my own actions, or inactions, those of others participating in the event, the conditions in which the event takes place, or the negligence of the “releases” named below; and that there may be other risks either not known to me or not readily foreseeable at this time; and I fully accept and assume all such risks and all responsibility for losses, costs, and damages I incur as a result of my participation in the Activity. I hereby release, discharge, and covenant not to sue Gamepod Combat Zone Inc. its Respective administrators, directors, agents, officers, volunteers, and employees, other participants, event sponsors and advertisers (including but not limited to Evike.com Inc. and Moondog Industries LLC.), and if applicable, owners and lessors of premises on which the Activity takes place, (each considered one of the “RELEASES” herein) from all liability, claims, demands, losses, or damages on my account caused or alleged to be caused in whole or in part by the negligence or the “releases” or otherwise, including negligent rescue operations; and I further agree that if, despite this release, waiver of liability, and assumption of risk I. or anyone on my behalf makes a claim against any of the Releases. I will indemnify, save, and hold harmless each of the releases from any loss, liability, damage, or cost which any may incur as the result of such claim. I have read this RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK. AND INDEMNITY AGREEMENT, I understand that I have given up substantial rights by signing it and have signed it freely and without any inducement and assurance of any nature and intend it be a complete and unconditional release of all liability to the greatest extent allowed by law and agree that if any portion of this agreement is held to be invalid the Balance, notwithstanding, shall continue in full force and effect.

__________________________________________ Date of Birth ____________________

Printed name of Participant

__________________________________________ Date ____________________

Signature of Participant

__________________________________________

Driver’s License Number

PARENTAL CONSENT

AND I the minor’s parent and / or legal guardian, understand the nature of the above referenced activities and the minor’s experience and capabilities and believe the minor to be qualified to participate in such activity. I hereby release, discharge, covenant not to sue and AGREE TO INDEMNIFY AND SAVE AND HOLD HARMLESS each of the Releases from all liability, claims, demands, losses., or damages on the minor’s account caused or alleged to have been caused in whole or in part by the negligence of the releases or otherwise, including negligent rescue operations, and further agree that if, despite this release, I, the parent, legal guardian, minor, or anyone on the minor’s behalf makes a claim against any of the above Releases. I WILL INDEMNIFY, SAVE AND HOLD HARMLESS each of the Releases from any litigation expenses, attorney fees, loss, liability, damage, or cost any Release may incur as the result of any such claim.

_________________________________________

Printed name of parent/guardian

__________________________________________ Date ____________________

Signature of parent/guardian

__________________________________________

Driver’s License Number

Rev 1.5 03/01/2014