The battleground
On May 2nd, 0800-1130 hours three churches and countless men and youth will descend upon the grounds of 11301 liberty rd. Owings Mills MD 21117 for an Airsoft Battle Royale. This will be our biggest Airsoft event yet with new scenarios, new squads, new risks, and new terrain. Don't miss out on this once a year event.
What to Bring: Airsoft gun, Airsoft ammo, Eye protection, Waiver form, and friends and family you'd like to shoot at.
Don't be late. We start at 8am sharp. Meet at the block house, the little white building behind the church.
This event is open to guys middle school age and older. Please have your parents sign the waiver before you come.
Name of sponsoring organization: Liberty Church PCA
Address: 11301 Liberty rd Owings Mills MD 21117 Telephone: 410-655-5466
Name of sponsor’s coordinator: Nicholas Hathaway Telephone: 443-286-5886
Description of activity:
- Playing Airsoft in the woods behind the church
Date(s) and location of activity: May 2nd 2009 8-11:30am at 11301 Liberty rd. Owings Mills MD 21117
Participant Information (To be completed by participant or authorized guardian)
Name of participant:
Name of parents/guardians:
Address: Telephone:
Name of emergency contact:
Telephone (Day): Telephone (evening):
List allergies or medical conditions:
Is sponsor authorized to approve medical treatment? ❏ Yes ❏ No
Is participant covered by personal/family medical insurance? ❏ Yes ❏ No
If yes, name of insurer:
Policy or group number:
Participation Agreement
I acknowledge that participation in the activity described above involves risk to the Participant (and to Participant’s
parents or guardians, if Participant is a minor), and may result in various types of injury including, but not limited to,
the following: sickness, bodily injury, death, emotional injury, personal injury, property damage and financial damage.
In consideration for the opportunity to participate in the activity described above (the “Activity”), the Participant (or
parent/guardian if Participant is a minor) acknowledges and accepts the risks of injury associated with participation
in and transportation to and from the Activity. The Participant (or parent/guardian) accepts personal financial
responsibility for any injury or other loss sustained during the Activity or during transportation to and from the
activity, as well as for any medical treatment rendered to the Participant that is authorized by the Sponsor or its agents,employees, volunteers, or any other representatives (collectively referred to hereinafter as the “Activity Sponsor”).
Further, the Participant (or parent/guardian) releases and promises to indemnify, defend, and hold harmless the
Activity Sponsor for any injury arising directly or indirectly out of the described Activity or transportation to and from the Activity, whether such injury arises out of the negligence of the Activity Sponsor, the Participant, or otherwise.
If a dispute over this agreement or any claim for damages arises, the Participant (or parent/guardian) agrees to resolve the matter through a mutually acceptable alternative dispute resolution process. If the Participant (or parent/guardian) and the Activity Sponsor cannot agree upon such a process, the dispute will be submitted to a three-member arbitration panel for resolution pursuant to the rules of the American Arbitration Association.
Signature: Date:
Signature: Date:
Signature: Date:
(Participant and/or ALL parent/guardians if participant is a minor)
