CIA The COSSIO INSURANCE AGENCY

               Total Control Paintball Inc. =  TCP                        
                                                          
   Phone: (574) 277 – 4493

                                                                  READ CAREFULLY


                                                 WAIVER AND RELEASE OF LIABILITY

In consideration of TCP furnishing services and/or equipment to enable me to participate in PAINTBALL / AIRSOFT
games, I agree as follows:

I fully understand and acknowledge that; (a) risks and dangers exist in my use of PAINTBALL / AIRSOFT equipment
and my participation in PAINTBALL / AIRSOFT activities; (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 strains, fractures, partial
and/or total paralysis, eye injury, blindness, heat stroke, heart attack, death or other ailments that could cause
serious disability; (c) these risks and dangers may be caused by the negligence of the owners, accidents, breaches
of contract, the forces of nature or other causes. 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 or conduct of the owners, agents, officers or employees of
TCP. This waiver is good through 4/09/2018.

                                               MEDICAL PERMISSION AUTHORIZATION

If the participant is of minority age, the undersigned parent or guardian hereby gives permission for
TCP to
authorize emergency medical treatment as may be deemed necessary for the child named below while participating
in PAINTBALL / AIRSOFT games from this date through 4/09/2018.

I HAVE READ THE ABOVE WAIVER AND RELEASE AND BY SIGNING IT AGREE IT IS MY INTENTION TO EXEMPT
AND RELIEVE
TCP FROM LIABILITY FOR PERSONAL INJURY, PROPERTY DAMAGE OR WRONGFUL DEATH
CAUSED BY NEGLIGENCE OR ANY OTHER CAUSE.


_______________________________    ______   ______________   _________________________________
Print Name                                                 Age        Date of Birth            Phone


________________________      ___________________________      _________________________________
Signature                                      Address                                                City, State, Zip


________________________________________    ________________________________________________
Signature of Parent/Guardian                                     E-mail
(if less than 18 yrs old)


__________________________
Date
Outdoor Playing Fields:
3023 S. 11th Street, Niles, MI  49120