Paintball Waiver

Have fun working as a team in a playing field mixed with grassy knolls and trees.

Speedball

Paintball takes place on our Speedball course.

Each game takes no more than 10 minutes. In Speedball, two teams of up to 11 players per team start at each end of the course. Typically, all games are elimination based. The first team to eliminate the other team’s players by hitting them with a paintball or forcing them to surrender wins the match.
Other variations of the game may be introduced, such as; capture the flag.

PRBC currently has more than 30 Tippmann brand FT12 marker’s available. Full face protection goggles are provided. Players can use their own goggles upon inspection from Phantom Ranch Rec Staff. Players may not use their own paintball markers or paint per insurance mandates. Games are refereed by Phantom Ranch Rec Staff.

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This field is for validation purposes and should be left unchanged.

Registration Name(Required)

Registration Email(Required)

Address

Please provide you address if you have not registered for a Community Climb Event before. If you have registered before, we will use your address linked with your email address.

Street Address City State ZIP Code

Phone(Required)

Phone number is required by state code for emergency contact.

Emergency Contact(Required)

Emergency Phone(Required)

Phone number is required by state code for emergency contact.

Participant List of Participants (use "A" for adult in age field.)(Required)

Please enter all people who will be participating in paintball, including the person who is doing this registration if they are participating. Use “A” for adults in the age field.

Name

Age

THIS IS A RELEASE OF LIABILITY(Required)

In order to participate myself or allow my child to participate, in any way, in the sport and activities of Paintball (also known as, Speedball) at Phantom Ranch Bible Camp, I acknowledge, and agree that:
1. There is a risk of injury, including a potential for permanent disability or death, resulting from any participation in the Paintball activities and from the equipment involved in participation, and while particular protective equipment and personal discipline will minimize this risk, the risk of serious injury does exist;
2. I knowingly and freely assume all such risks for myself or for my child, both known and unknown, even if arising from the negligence of those persons released from liability below, or from other participants, and assume full responsibility for my participating;
3. I understand, or my child understands, that there are rules of play, including safety related rules and agrees to fully comply with the rules and safety regulations during my participation, and that if I or my child does not understand the rules of play I or my child will seek further instructions;
4. I understand or my child understands, that the activities of Paintball are physically and mentally intense, and will comply with all rules and regulations. I understand or my child understands that failure to follow rules may result in eviction from Paintball activities without refund;
5. If I, or my child, observes any unusual or unnecessary hazard during my participation, I, or my child, will bring such to the attention of the nearest official as soon as practical;
6. I, for myself, or for my child, and on behalf of my heirs, assigns, personal representatives and next of kin, hereby release and hold harmless from liability Phantom Ranch Bible Camp and Midwest Bible Church, Chicago, Il. (the owners and operators of the property used to conduct the Paintball activities), their officers, officials, board members, agents and or employees (‘releases’), with respect to any and all injury, disability, death, or loss or damage to person or property, whether caused by the negligence of the releases or otherwise, except that which is the result of gross negligence and/or wanton misconduct;
7. I understand and agree that this Release of Liability Agreement covers each and every Paintball activity and event inwhich I participate hereafter or my child participates hereafter.

I have read this release of Liability and Assumption of Risk Agreement, fully understand its terms, understand that I have given up substantial rights by signing it, and sign it freely and voluntarily without any inducement.

Payment Options

If you select a quantity in Individual Climber field in order to make a payment online now.

The Family rate is $20. Please select 2 for the qty to pay for your family.

To pay on a later date, Individual Climber and Family Package quantities should be left blank to submit.

Individual Climber

Price: $10.00

Family Climber Group

Max fees for families is $20. Please select this option for 3 or more people from your immediate family. Enter quantity of 1

Price: $20.00

Total

Payment Method

American Express

Discover

MasterCard

Visa

Card Number Card Number Expiration Date Expiration Date Security Code Security Code Cardholder Name