C Y B E R J AY A P A I N T B A L L C H A M P I O N S H I P L E A G U E 2010

R E L E A S E O F L I A B I L I T Y, A S S U M P T I O N O F R I S K , I N D E M N I T Y A N D P U B L I C I T Y A G R E E M E N T

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N O T E: T H I S F O R M M U S T B E R E A D A N D S I G N E D B E F O R E T H E PA R T I C I P A N T I S A L L O W E D TO TA K E
P A R T I N A N Y P A I N T B A L L E V E N T, O R H A V E A C C E S S TO T H E P L AY E R S’ A R E A O R F I E L D S O F P L A Y.

P A R T I C IP A N T ’ S N A M E : _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ A G E: ______________________
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I N C O N S I D E R A T I O N o f be i n g pe r m i t te d t o pa r t i c i pate as a p l a y er, r e f e ree, re p o r ter, o r i n a n y o t h er w a y i n pa i n t ba l l act i v i t i es sa n ct i o n e d
b y t he C Y B E R J A Y A P A I N T B A L L C H A M P I O N S H I P L E A G U E (CP C L) o r W E R D N A H O L C U P, I ac k n o w l e d ge d a n d ag r ee d t hat:

1. T h e r is k o f i n j u r y i n p a i nt ba l l act i v i t i es i s si g n i f i ca nt, i n c l u d i n g t he p o t e nt i a l d i sa b i l i t y a n d d eat h. A l t h o u g h p r ot ect i v e eq u i p m e n t

a n d p ers o n a l d i s c i p l i ne m a y re d u ce t h is r is k, t he r is k o f ser i o us i n j u r y a n d d eat h re m a i ns. I K N O W I N G L Y A N D F R E E L Y
A S S U M E A L L S U C H R I S K S, k n o w n an d u n k n o w n, E V E N I F A R I S I N G F R O M T H E O R D I N A R Y A N D G R O S S
N E G L I G E N C E o f p ers o ns re l ease d f r o m l i a b i l i t y b e l o w, an d ass u m e f u l l r esp o ns i b i l i t y f o r m y p a r t i c i p at i o n.

2. I u n d e rsta n d t hat t he act i v i t i es o f p a i nt ba l l are p h ys i ca l l y a n d m e n t a l l y i n t e nse. I u n d ersta n d t he r u l es o f p l a y an d w i l l c o m p l y

w i t h al l r u l es r e lat i n g t o t he act i v i t y an d r u l i n gs o f o f f i c i a ls. N o t w i t hsta n d i n g t he f o r e g o i n g, i f I o bser v e d an y u n us ua l o r
u n n e cessar y ha zar d d u r i n g t he c o u r se o f m y p a r t i c i p at i o n. I w i l l a v o i d t he ha za r d an d p r o m p t l y b r i n g i t t o t he i m m e d i ate
atte nt i o n o f t he n ear est A c t i v i t y o f f i c i a l. I rea l i ze pa i n t ba l l i s o n l y a sp o r t a n d t hat m y res p o ns i b i l i t y t o m y s e l f an d o t he rs f o r m y
sa fet y is pa ra m o u n t, a n d I w i l l re f use t o p a r t i c i p ate i n a n y m a n n er w h i c h I be l i e v e m a y i n c l u de an y u n us ua l o r u n n e cessar y
h a zar d o us c o n d i t i o n e ve n i f i t m a y r esu l t i n m y d i s q u a l i f i cat i o n. I f I a m a r e f e ree o r o t he r o f f i c i a l, I w i l l i n te r p r et a n d en f o r ce t he
r u les t o a v o i d u n us ua l o r u n ne cessar y h a zar d o us c o n d i t i o ns. I w i l l o n l y use p a i nt ba l l s w h i c h are w a t er so l u b l e, n o n-stra i n i n g, a n d
o t h er w i se c o n f o r m w i t h A S T M F-1 9 7 9 sta n dar d spec i f i cat i o ns.

3. I, f o r m y se l f a n d o n be ha l f o f m y h e i r s, assi g ns, p ers o n a l r e p r esent at i v es, r e lat i v es, a n d an y o n e c l a i m i n g t h r o u g h m e, H E R E B Y

R E L E A S E A N D H O L D H A R M L E S S F R O M L I A B I L I T Y t he C P C L / W H C , t he o w n e rs o r l easers o f p r e m i ses a n d f a c i l i t ies
use d t o c o n d u ct t he p a i n t ba l l act i v i t i es, a n d al l o f t he i r o f f i c ers, o f f i c i a ls, age n ts, i n d e pe n de nt c o n t ra ct o rs an d/or e m p l o y ees
(“Releasees”), W I T H R E S P E C T T O A N Y A N D A L L I N J U R Y, D I S A B I L I T Y, D E A T H , or, l oss o r d a m a ge t o p e rs o n o r p r o p er t y,
W H E T H E R C A U S E D B Y T H E O R D I N A T Y O R G R O S S N E G L I G E N C E O F T H E R E L E A S E E S O R O T H E R W I S E, e x ce pt t hat
w h i c h i s t he r es u l t o f i n t e n t i o n a l m i s c o n d u c t o r o t h er f o r w h i c h su c h a r e lease is i n v a l i d as a m a t t er o f l a w. I sha l l d e f e n d an d
I N D E M N I F Y t he R e l easees f r o m al l c l a i m s b r o u g h t aga i nst t he m w h i c h ha v e bee n re l ease d b y t h i s A g r ee m e n t o r w h i c h ar ise
f r o m t he b r eac h o f m y o b l i g at i o ns u n d e r t h i s A g r ee m e n t. T h i s A g r ee m e n t i s f o r t he be ne f i t o f t he R e l easees o n l y.

4. I c o nse nt t o t he use o f m y n a m e, b i o g r a p h i ca l an d stat ist i ca l i n f o r m a t i o n, v o i c e an d l i k e n ess o n o r i n c o n ne c t i o n w i t h an y p r i n t

m e d i a, D V D , C D, ta pe, w e b c ast, r a d i o o r tel e v i s i o n p r o g r a m m e r e lat i n g t o an y A c t i v i t i es b y C P C L / W H C , a n y ad v e r t is i n g,
p u b l i c i z i n g o r o t he r su c h c o m m e r c i a l use (“Pu b l i c i t y ”) o f su c h p r o g r a m as m a y be des i g nat i o n b y C P C L / W H C . I W A I V E a l l
r i g h ts t o c o m p e nsat i o n f o r P u b l i c i t y. C P C L / W H C an d i ts su b l i ce nsees a n d assi g ns m a y use, r e p r o d u c e o r o t her w i se d i sse m i n ate
o r p u b l i s h P u b l i c i t y, d i r e ct l y o r i n d i r e ct l y, f o r a n y c o m m e r c i a l o r o t he r l e g i t i m a t e p u r p ose i n a n y m a n n e r an d at an y t i m e des i r e d.

5. T h i s A g r ee m e n t c o v e rs eac h an d e v er y p a i n t ba l l A c t i v i t y i n w h i c h I h a v e p ar t i c i p ate d i n t he past an d m a y p ar t i c i p ate he rea f t er.

6. T h i s A g r ee m e n t is g o v e r n e d b y t he l a w o f M a l a ys i a. I c o nse nt t o t he e x c l us i v e j u r i s d i c t i o n o f t he c o u r ts o f M a l a y s i a o f eac h
j u r is d i c t i o n i n w h i c h I p ar t i c i p ate i n a n A c t i v i t y t o r es o l v e an y issue r e late d t o o r ar isi n g u n de r t h i s A g r ee m e n t o r m y
p ar t i c i p at i o n.

I H A V E R E A D T H I S R E L E A S E O F L I A B I L I T Y, A S S U M P T I O N O R R I S K, I N D E M N I T Y A N D P U B L I C I T Y,
A N D F U L LY U N D E R S T A N D I T S T E R M S, U N D E R S T A N D T H AT I H A V E G I V E N U P S U B S T A N T I A L
R I G H T S B Y S I G N I N G I T, A N D S I G N I T F R E E LY A N D V O L U N T A R I L Y W I T H O U T A N Y R E P R E S E N T AT I O N
O R W A R R A N T Y.

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P a rt i c i p a n t’s Signature Date Signed Date of Birth

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A d d ress

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N R I C / Passp o r t N o Te l N o. E-M a i l A d d r ess

F O R PA R T I C I P A N T S O F M I N O R I T Y A G E U N D E R L A W O R A C T I V I T Y L O C AT I O N
( G E N E R A L L Y, U N D E R 18 AT T I M E O F R E G I S T R AT I O N )

I, f o r t he a b o v e p ar t i c i pa nt, m y se l f, h e i rs, assi g ns: (1) c o nse nt an d a g ree t o t he ent i r e ab o v e A g r ee m e n t; (2) a gr ee t o re l ease, de f e n d a n d
I N D E M N I F Y al l R e l easees f r o m a n y an d al l c l a i m s a n d l i a b i l i t i es i n c i d e nt t o o r ar isi n g f r o m t he a b o v e p ar t i c i p a n t’s pa r t i c i pat i o n i n
A c t i v i t ies; an d (3) re p r ese nt an d w a r r a n t m y aut h o r i t y t o m a k e su c h re p rese ntat i o ns a n d ag r ee m e n ts w i t h t he i n te nt t hat t he y b e re l i e d u p o n.

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D a te S i g n a t u re o f Pa re n t/ G u a r d i a n o r O t h e r R e s p o ns i b l e Pa rt y