TACVILLE TRAINING CENTER First Name Last Name: Email Address: PARTICIPANT WAIVER AND RELEASE PLEASE READ CAREFULLY AS THIS DOCUMENT INCLUDES A WAIVER AND RELEASE OF CLAIMS. In consideration of TACVILLE Training Center, including Splat Tactics LLC, SEACA Systema LLC and TacFlow Academy ("TACVILLE") providing services, training space and/ or equipment (the "Services and/or Equipment") to enable me to participate in training and modern combat sport scenarios, I hereby acknowledge and agree as follows: The Services are designed to simulate real world combat situations and may involve the use of simulated combat situations or conditions including the use of Reball Paintless Paintballs, airsoft or other less than lethal projectiles as well as hand to hand defense techniques. For these reasons, the Services involve a potential risk of personal injury (including death or serious bodily harm) to Participant, TACVILLE trainers and safety officers and my fellow Participants; while all parties will use reasonable means to minimize this risk, it cannot be eliminated altogether. Participant’s participation in the Services and use of training equipment may result in injury or illness including, but not limited to strains, fractures, partial and/or total paralysis, bodily injury, death, disease, hearing or vision impairment or loss, and other ailments that could cause serious disability, due to the negligence of other Participants, third parties, accidents, forces of nature, and such other risks, hazards and dangers that are integral to training activities that take place in an indoor and/ or environment. To the extent permitted by applicable law, I agree and hereby do, on my own behalf and on behalf of my heirs, executors, successors and assigns, irrevocably and unconditionally release, waive, forever discharge, hold harmless and indemnify TACVILLE and all of its parents, divisions, subsidiaries, affiliates, joint venture partners, partners, subcontractors, and related companies, and their present and former agents, executives, officers, directors, attorneys, and members (“TACVILLE Related Person”) from any and all claims, demands, actions, causes of action, costs, fees, and all liability whatsoever, whether known or unknown, fixed or contingent, arising from or related to: o any personal injury or death suffered by Participant (i) caused by my own acts or omissions (including but not limited to the mishandling of any equipment, or (ii) caused by the acts or omissions of another Participant; o the negligent supervision, passive negligence or failure to warn by TACVILLE or a TACVILLE Related Person, including, but not limited to, any claims of failure to warn relating to the condition areas within and/or surrounding the training area, hazardous condition of the environment in which the training facility is located. o any personal injury, death, or property damage suffered by another Participant or a third party, arising from or relating to Participant’s acts or omissions. TACVILLE's sole liability under this Agreement to Participant for personal injury or death or damage to my tangible personal property will be limited to situations where TACVILLE or TACVILLE Related Persons are found to be by a court of law to have directly caused such injury or damage by their active negligence in the handling of the specific training equipment causing such injury or damage This Agreement shall, in all respects, be interpreted, enforced, and governed under the laws of the State of Arizona without giving effect to any conflict of laws principles, and the language of this Agreement shall, in all cases, be construed as a whole, according to its fair meaning, and not strictly for, or against, any of the parties 750 East Covey Lane #130, Phoenix, AZ 85024 www.TACVILLE.com TACVILLE TRAINING CENTER I HAVE READ THE FOREGOING WAIVER AND RELEASE AND, BY MY SIGNATURE, AGREE THAT I AM KNOWINGLY AND VOLUNTARILY WAIVING AND RELEASING TACVILLE AND TACVILLE RELATED PERSONS FROM ANY AND ALL LIABILITIES EXCEPT AS EXPRESSLY PROVIDED HEREIN. Participant Signature: Date of Birth: Today’s Date: Parent Signature (If under 18): MINOR MEDICAL PERMISSION AUTHORIZATION If the participant is of minority age, the undersigned parent or guardian hereby gives permission for TACVILLE to authorize emergency medical treatment as may be deemed necessary for the child named below while participating in training objectives from the date through 12/31/2016. I HAVE READ THE FOREGOING WAIVER AND RELEASE AND, BY MY SIGNATURE, AGREE THAT IT IS MY INTENTION TO EXEMPT AND RELIEVE TACVILLLE FROM LIABILITY FOR PERSONAL INJURY, PROPERTY DAMAGE OR WRONGFUL DEATH CAUSED BY NEGLIGENCE OR ANY OTHER CAUSE. Parent/ Guardian Name: Phone: _____ Secondary Contact (Optional): Secondary Phone: Signature of Parent Guardian: 750 East Covey Lane #130, Phoenix, AZ 85024 www.TACVILLE.com __ _