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PARTICIPANT AGREEMENT, RELEASE AND ASSUMPTION OF RISK

(PLEASE READ THIS DOCUMENT CAREFULLY BEFORE SIGNING IT—YOU ARE GIVING UP LEGAL RIGHTS BELONGING TO YOU, YOUR SPOUSE OR LEGAL PARTNER, AND/OR YOUR MINOR CHILD(REN))

The individual named below (referred to as "I" or "me") desires to participate in activities provided by Allegiant Entertainment Inc., a Nevada corporation, dba G4 Complete Entertainment (“ALLEGIANT NONSTOP”), including, without limitation, go-karts, laser tag, climbing wall, escape rooms, virtual reality games, 4D games, bumper cars, inflatables, soft play areas and any and all other activities offered by ALLEGIANT NONSTOP at any of its locations (collectively the “Location”) in which the below-named individuals may participate (collectively the “Activities”). As lawful consideration for being permitted by ALLEGIANT NONSTOP to participate in the Activities, I hereby agree, on behalf of myself, my spouse or legal partner, my children, parents, heirs, assigns, personal representatives, estate, and insurers, to all of the terms and conditions as set forth in this Participation Agreement, Release and Assumption of Risk (the “Agreement”).

ACCEPTANCE OF RISK. I ACKNOWLEDGE THAT MY OR MY MINOR CHILD(REN)’S PARTICIPATION IN THE ACTIVITIES ENTAILS KNOWN AND UNANTICIPATED RISKS THAT COULD RESULT IN PHYSICAL OR EMOTIONAL INJURY OR DAMAGE TO MYSELF, MY CHILD(REN), TO PROPERTY, OR TO THIRD PARTIES INCLUDING, AMONG OTHER THINGS: CUTS AND BRUISES, SPRAINED OR TORN LIGAMENTS, BROKEN BONES, CONCUSSIONS, PARALYSIS, AND DEATH. I UNDERSTAND THAT SUCH RISKS SIMPLY CANNOT BE ELIMINATED WITHOUT JEOPARDIZING THE ESSENTIAL QUALITIES OF THE ACTIVITIES, AND I EXPRESSLY ACCEPT AND KNOWINGLY ASSUME ALL OF THE RISKS INHERENT IN THE ACTIVITIES. MY AND/OR MY CHILD(REN)’S PARTICIPATION IN THE ACTIVITIES IS PURELY VOLUNTARY AND I ELECT TO PARTICIPATE, AND/OR TO ALLOW MY CHILD(REN) TO PARTICIPATE, IN SPITE OF THE RISKS.
RELEASE. I hereby expressly waive and release, and forever discharge, any and all claims, now known or hereafter known, in any jurisdiction throughout the world, and agree to indemnify and hold harmless Allegiant Entertainment Inc., its parent company, subsidiaries, managers, members, agents, owners, officers, affiliates, insurers, volunteers, participants, employees, and all other persons or entities acting in any capacity on its behalf (collectively the “Released Parties”) from any and all claims, demands, or causes of action, which are in any way connected with my and/or my child(ren)’s participation in the Activities or my use of ALLEGIANT NONSTOP equipment or the Location, including any such claims which allege negligent acts or omissions of one or more Released Parties.  I covenant not to make or bring any such claim against the Released Parties, and forever release and discharge the Released Parties from liability under such claims.

 

HOLD HARMLESS. Should the Released Parties, or anyone acting on their behalf, be required to incur attorney’s fees and costs to enforce this Agreement, I agree to indemnify and hold the Released Parties harmless for all such fees and costs. In addition, I agree to indemnify, defend and hold the Released Parties harmless from and against any and all liabilities, claims, demands, or causes of action related to or resulting from my or my child(ren)’s negligent or intentional acts or omissions, regardless of where or how raised, and regardless of whether I dispute my own liability or that of the Released Parties.
MEDICAL ASSISTANCE. I certify that I and/or my child(ren) are physically able to participate in all Activities offered by ALLEGIANT NONSTOP without aid or assistance. I further certify that I am willing to and do assume the risk of any medical or physical condition I and/or my minor child(ren) may have. If I and/or my child(ren) are injured while participating in an any Activity or while using ALLEGIANT NONSTOP equipment, I acknowledge that I or my child(ren) may require medical assistance, which will be at my own expense or the expense of my personal insurer(s). I certify that I have adequate insurance to cover any injury or damage I or my child(ren) may cause or suffer while participating in the Activities or while using ALLEGIANT NONSTOP equipment, or else I agree to bear the costs of such injury or damage myself.
RULES. I acknowledge that I have read and understand this Agreement and any rules governing my and/or my child(ren)’s participation in any Activities offered by ALLEGIANT NONSTOP, and I certify that I have explained all rules to the minor child(ren) listed below. I acknowledge and agree that failure to follow all rules could result in the expulsion of myself and/or my child(ren) from ALLEGIANT NONSTOP.
VENUE. All matters arising out of or relating to this Agreement shall be governed by and construed in accordance with the internal laws of the State of Nevada without giving effect to any choice or conflict of law provision or rule whether of the State of Nevada or any other jurisdiction. Any claim or cause of action arising under this Agreement may be brought only in the federal and state courts located in Clark County, Nevada and I hereby consent to the exclusive jurisdiction of such courts. I agree that if any portion of this Agreement is found to be void or unenforceable, the remaining portions shall remain in full force and effect.
MEDIA LICENSE. I hereby grant ALLEGIANT NONSTOP the right to photograph, videotape, and/or record me and/or my child(ren) and to use my or my child(ren)'s name, face, likeness, voice and appearance in connection with exhibitions, publicity, advertising, and promotional materials without reservation or limitation.

   ___________________    ____________________    ______________________

   Signature                                   Printed Name                                Date

                                                                                          

BY SIGNING THIS AGREEMENT, I CERTIFY THAT I AM 18 YEARS OF AGE OR OLDER. I ACKNOWLEDGE THAT IF ANYONE IS HURT OR PROPERTY IS DAMAGED DURING MY PARTICIPATION IN ANY ACTIVITY OFFERED BY ALLEGIANT NONSTOP, I MAY BE FOUND BY A COURT OF LAW TO HAVE WAIVED MY RIGHT TO MAINTAIN A LAWSUIT AGAINST THE RELEASED PARTIES BY VIRTUE OF THE RELEASE HEREIN. I HAVE HAD SUFFICIENT OPPORTUNITY TO READ THIS ENTIRE AGREEMENT. I HAVE READ AND UNDERSTAND IT, AND I AGREE TO BE BOUND BY ITS TERMS.

PRINT NAME _______________________  Phone _____________________________

Signature ______________________________________________________________

Email _________________________________________________________________                            

I certify that I am the parent or legal guardian of the minor child(ren) listed below.  I have the legal right to consent to and, by signing below, I hereby do consent to the terms and conditions of this Agreement on behalf of my minor child(ren).

Name of minor child: ____________________________

Name of minor child: ____________________________ 

Name of minor child: ____________________________ 

Name of minor child: ____________________________ 

Signed:

____________________________________________

Printed Name of Parent or Legal Guardian:

____________________________________________

Date: _______________________________________

 

 

 

PARTICIPANT AGREEMENT, RELEASE AND ASSUMPTION OF RISK

(PLEASE READ THIS DOCUMENT CAREFULLY BEFORE SIGNING IT—YOU ARE GIVING UP LEGAL RIGHTS BELONGING TO YOU, YOUR SPOUSE OR LEGAL PARTNER, AND/OR YOUR MINOR CHILD(REN))

The individual named below (referred to as "I" or "me") desires to participate in activities provided by Allegiant Entertainment Inc., a Nevada corporation, dba G4 Complete Entertainment (“G4CE”), including, without limitation, go-karts, laser tag, climbing wall, escape rooms, virtual reality games, 4D games, bumper cars, inflatables, soft play areas and any and all other activities offered by G4CE at any of its locations (collectively the “Location”) in which the below-named individuals may participate (collectively the “Activities”). As lawful consideration for being permitted by G4CE to participate in the Activities, I hereby agree, on behalf of myself, my spouse or legal partner, my children, parents, heirs, assigns, personal representatives, estate, and insurers, to all of the terms and conditions as set forth in this Participation Agreement, Release and Assumption of Risk (the “Agreement”).

1. ACCEPTANCE OF RISK. I ACKNOWLEDGE THAT MY OR MY MINOR CHILD(REN)’S PARTICIPATION IN THE ACTIVITIES ENTAILS KNOWN AND UNANTICIPATED RISKS THAT COULD RESULT IN PHYSICAL OR EMOTIONAL INJURY OR DAMAGE TO MYSELF, MY CHILD(REN), TO PROPERTY, OR TO THIRD PARTIES INCLUDING, AMONG OTHER THINGS: CUTS AND BRUISES, SPRAINED OR TORN LIGAMENTS, BROKEN BONES, CONCUSSIONS, PARALYSIS, AND DEATH. I UNDERSTAND THAT SUCH RISKS SIMPLY CANNOT BE ELIMINATED WITHOUT JEOPARDIZING THE ESSENTIAL QUALITIES OF THE ACTIVITIES, AND I EXPRESSLY ACCEPT AND KNOWINGLY ASSUME ALL OF THE RISKS INHERENT IN THE ACTIVITIES. MY AND/OR MY CHILD(REN)’S PARTICIPATION IN THE ACTIVITIES IS PURELY VOLUNTARY AND I ELECT TO PARTICIPATE, AND/OR TO ALLOW MY CHILD(REN) TO PARTICIPATE, IN SPITE OF THE RISKS.

2. RELEASE. I hereby expressly waive and release, and forever discharge, any and all claims, now known or hereafter known, in any jurisdiction throughout the world, and agree to indemnify and hold harmless Allegiant Entertainment Inc., its parent company, subsidiaries, managers, members, agents, owners, officers, affiliates, insurers, volunteers, participants, employees, and all other persons or entities acting in any capacity on its behalf (collectively the “Released Parties”) from any and all claims, demands, or causes of action, which are in any way connected with my and/or my child(ren)’s participation in the Activities or my use of G4CE equipment or the Location, including any such claims which allege negligent acts or omissions of one or more Released Parties.  I covenant not to make or bring any such claim against the Released Parties, and forever release and discharge the Released Parties from liability under such claims.

3. HOLD HARMLESS. Should the Released Parties, or anyone acting on their behalf, be required to incur attorney’s fees and costs to enforce this Agreement, I agree to indemnify and hold the Released Parties harmless for all such fees and costs. In addition, I agree to indemnify, defend and hold the Released Parties harmless from and against any and all liabilities, claims, demands, or causes of action related to or resulting from my or my child(ren)’s negligent or intentional acts or omissions, regardless of where or how raised, and regardless of whether I dispute my own liability or that of the Released Parties.

4. MEDICAL ASSISTANCE. I certify that I and/or my child(ren) are physically able to participate in all Activities offered by G4CE without aid or assistance. I further certify that I am willing to and do assume the risk of any medical or physical condition I and/or my minor child(ren) may have. If I and/or my child(ren) are injured while participating in an any Activity or while using G4CE equipment, I acknowledge that I or my child(ren) may require medical assistance, which will be at my own expense or the expense of my personal insurer(s). I certify that I have adequate insurance to cover any injury or damage I or my child(ren) may cause or suffer while participating in the Activities or while using G4CE equipment, or else I agree to bear the costs of such injury or damage myself.

5. RULES. I acknowledge that I have read and understand this Agreement and any rules governing my and/or my child(ren)’s participation in any Activities offered by G4CE, and I certify that I have explained all rules to the minor child(ren) listed below. I acknowledge and agree that failure to follow all rules could result in the expulsion of myself and/or my child(ren) from G4CE.

6. VENUE. All matters arising out of or relating to this Agreement shall be governed by and construed in accordance with the internal laws of the State of Nevada without giving effect to any choice or conflict of law provision or rule whether of the State of Nevada or any other jurisdiction. Any claim or cause of action arising under this Agreement may be brought only in the federal and state courts located in Clark County, Nevada and I hereby consent to the exclusive jurisdiction of such courts. I agree that if any portion of this Agreement is found to be void or unenforceable, the remaining portions shall remain in full force and effect.

7. MEDIA LICENSE. I hereby grant G4CE the right to photograph, videotape, and/or record me and/or my child(ren) and to use my or my child(ren)'s name, face, likeness, voice and appearance in connection with exhibitions, publicity, advertising, and promotional materials without reservation or limitation.

BY SIGNING THIS AGREEMENT, I CERTIFY THAT I AM 18 YEARS OF AGE OR OLDER. I ACKNOWLEDGE THAT IF ANYONE IS HURT OR PROPERTY IS DAMAGED DURING MY PARTICIPATION IN ANY ACTIVITY OFFERED BY G4CE, I MAY BE FOUND BY A COURT OF LAW TO HAVE WAIVED MY RIGHT TO MAINTAIN A LAWSUIT AGAINST THE RELEASED PARTIES BY VIRTUE OF THE RELEASE HEREIN. I HAVE HAD SUFFICIENT OPPORTUNITY TO READ THIS ENTIRE AGREEMENT. I HAVE READ AND UNDERSTAND IT, AND I AGREE TO BE BOUND BY ITS TERMS.

Today's Date: May 21, 2019

First Participant's Name

First Name*

Middle Name

Last Name*

Phone*
First Participant's Date of Birth*
First Participant's Signature*
Second Participant's Name

First Name*

Middle Name

Last Name*
Second Participant's Date of Birth*
Third Participant's Name

First Name*

Middle Name

Last Name*
Third Participant's Date of Birth*
Fourth Participant's Name

First Name*

Middle Name

Last Name*
Fourth Participant's Date of Birth*
Fifth Participant's Name

First Name*

Middle Name

Last Name*
Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

Middle Name

Last Name*
Sixth Participant's Date of Birth*
Seventh Participant's Name

First Name*

Middle Name

Last Name*
Seventh Participant's Date of Birth*
Eighth Participant's Name

First Name*

Middle Name

Last Name*
Eighth Participant's Date of Birth*
Ninth Participant's Name

First Name*

Middle Name

Last Name*
Ninth Participant's Date of Birth*
Tenth Participant's Name

First Name*

Middle Name

Last Name*
Tenth Participant's Date of Birth*
Parent or Guardian's Email Address

Email*

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Emergency Contact

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Location
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Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Middle Name

Last Name*

Phone*
Parent or Guardian's Date of Birth*
Parent or Guardian's Signature*
Electronic Signature Consent*
By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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