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IR COMBAT, LLC  Waiver Form

Every participant (or authorized guardian, if minor) must read and sign this release of liability prior to participating in any laser tag event.


In order to participate in an IRCombat Laser Tag game or activity, I, the undersigned, agree and acknowledge that there is risk or injury from these activities and/or from the equipment involved.

I freely assume all such risks, both known and unknown, and assume full responsibility for my participation and safety.

Rules:

  • Two hands on battle rifle during use
  • Strap sling over players head and arm before game play
  • Keep a safe distance from other players on the battlefield
  • No physical contact
  • Have fun and be safe!

I have read and understand the rules, including all safety-related rules, and agree to fully comply with all rules and regulations during my participation.

I, for myself, and on behalf of my heirs, assigns, personal representative’s and next of kin hereby release and hold harmless IRCombat, LLC their officers, agents or employees, from any and all liability for injury, disability, diseases, death, and loss of damage to personal property.

I acknowledge, understand and agree that I have read this release of liability and assume all risk associated with participating and that I sign this release of liability voluntarily and without inducement.

 


First Players Name
First Name*
Middle Name
Last Name*
Phone*
First Players Date of Birth*
Date of Birth
First Players Signature*
Second Players Name
First Name*
Middle Name
Last Name*
Players Date of Birth*
Date of Birth
Third Players Name
First Name*
Middle Name
Last Name*
Players Date of Birth*
Date of Birth
Fourth Players Name
First Name*
Middle Name
Last Name*
Players Date of Birth*
Date of Birth
Fifth Players Name
First Name*
Middle Name
Last Name*
Players Date of Birth*
Date of Birth
Sixth Players Name
First Name*
Middle Name
Last Name*
Players Date of Birth*
Date of Birth
Seventh Players Name
First Name*
Middle Name
Last Name*
Players Date of Birth*
Date of Birth
Eighth Players Name
First Name*
Middle Name
Last Name*
Players Date of Birth*
Date of Birth
Ninth Players Name
First Name*
Middle Name
Last Name*
Players Date of Birth*
Date of Birth
Tenth Players Name
First Name*
Middle Name
Last Name*
Players Date of Birth*
Date of Birth
Parent or Guardian's Email Address
Email*
Confirm Email*
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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.


By signing below the parent or court-appointed legal guardian agrees that they are also 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*
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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