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XP MOBILE LASER TAG

LASER TAG HOLD HARMLESS & WAIVER

EACH INDIVIDUAL MUST READ AND SIGN THIS RELEASE OF LIABILITY PRIOR TO PARTICIPATION IN ANY LASER TAG ACTIVITY

In order to participate in these activities, I the undersigned agree and acknowledge that: there is risk of injury, including a potential for permanent disability or death resulting from participation in these activities or from the equipment involved,

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

I agree to fully comply with all rules, regulations and policies during my participation and understand XP Mobile Laser Tag reserves the right to remove me for failing to follow the same, without refund,

I hereby grant XP Mobile Laser Tag rights to use my likeness for the purpose of promoting XP Mobile Laser Tag in all media without further compensation to me,

I, for myself and on behalf of my heirs, assigns, personal representatives and next of kin hereby release and hold harmless XP Mobile Laser Tag, their officers, officials, agents, employees, or the property owners from any and all liability for injury, disability, death, loss or 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. Failure to agree to all aspects of this release will result in refusal of service.

I HAVE READ, UNDERSTAND, AND VOLUNTARILY AGREE TO THIS AGREEMENT AND RELEASE OF LIABILITY. I FURTHER AGREE TO THE CODE OF CONDUCT BELOW.

 

PLAYERS CODE OF CONDUCT

(1) I AGREE TO PLAY ACCORDING TO THE RULES AS INSTRUCTED BY THE STAFF OF XP MOBILE LASER TAG.

(2) I ACCEPT FULL RESPONSIBILITY FOR DAMAGE TO XP MOBILE LASER TAG’S EQUIPMENT CAUSED BY ME. 

(3) I AGREE TO INFORM XP MOBILE LASER TAG STAFF OF ANY MEDICAL CONDITION OR TREATMENT THAT I HAVE, PRIOR TO PARTICIPATING.

Today's Date: December 7, 2022 



First Participant's Name

First Name*

Last Name*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
First Participant's Signature*
Second Participant's Name

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

First Name*

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

Email*

Confirm Email*
Parent/guardian: If participant is a minor,I verify that I am the parent or guardian of the minor, and I have authority to enter into this agreement and release liability on behalf of the minor.


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*

Last Name*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
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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