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IR COMBAT, LLC   Waiver Form

Every participant (or authourized guardidan, 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 battle field
  • 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*
First Players Signature*
Second Players Name

First Name*

Middle Name

Last Name*
Second Players Date of Birth*
Third Players Name

First Name*

Middle Name

Last Name*
Third Players Date of Birth*
Fourth Players Name

First Name*

Middle Name

Last Name*
Fourth Players Date of Birth*
Fifth Players Name

First Name*

Middle Name

Last Name*
Fifth Players Date of Birth*
Sixth Players Name

First Name*

Middle Name

Last Name*
Sixth Players Date of Birth*
Seventh Players Name

First Name*

Middle Name

Last Name*
Seventh Players Date of Birth*
Eighth Players Name

First Name*

Middle Name

Last Name*
Eighth Players Date of Birth*
Ninth Players Name

First Name*

Middle Name

Last Name*
Ninth Players Date of Birth*
Tenth Players Name

First Name*

Middle Name

Last Name*
Tenth Players 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.
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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