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pbalogo.gif (3658 bytes) R & R Paintball Games 

(508) 987-8601

READ CAREFULLY - Print this form, complete, and submit it the day you play.

ONLY FOR PLAYERS UNDER 18 YEARS OF AGE

MEDICAL PERMISSION FORM

The undersigned parent or guardian hereby gives permission for:                                                             to authorize emergency medical treatment as may be deemed necessary for the child named below, while playing paintball games at R & R Paintball Games from this date                             through year end.

 

Name of Minor Aged Player  Phone

Address City, State  Zip

Parental Signature

Medical Insurance Policy #   Company             

 

In addition to this form, the National Paintball Association waiver (form #501) must be signed by a parent of guardian, as well as the minority aged player.

FORM #503