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LAZER DUNGEON, LLC

WAIVER AND RELEASE OF ALL CLAIMS AND ASSUMPTION OF RISK: 

This form must be signed by the patron or, if the patron is a dependent, then by the parent or guardian before anyone can participate in any activities at Lazer Dungeon LLC.

I/We, the undersigned patron (or parents/guardians of a patron if they are under 18), have reviewed, understand, and agree to the information as follows:

I/We, the undersigned, recognize risks, including those of injury and death, in all activities initiated and carried out at Lazer Dungeon, LLC. I have read this form carefully and know that by signing this waiver, I freely volunteer to assume those risks on my own and/or for the dependents in my care.I will expressly assume the risk and legal liability and waive and release all claims for injuries, damages, or loss that I and/or the dependents in my care might sustain as a result of participating in any and all activities connected with and associated with Lazer Dungeon, LLC. 

I further agree to waive, fully release, and relinquish all claims I and/or the dependents in my care may have (or accrue to me and/or the dependents in my care) as a result of being on the premises and participating in activities at Lazer Dungeon, LLC., including its officials, agents, volunteers and employees (hereinafter collectively referred as "employees").

I have carefully read and understand the WAIVER AND RELEASE OF ALL CLAIMS AND ASSUMPTION OF RISK agreement and fully understand its content. I am aware this contract releases Lazer Dungeon, LLC, and its employees from liability, and I sign this release of liability of my own free will. I DO UNDERSTAND THAT THIS LIABILITY WAIVER RELEASE IS EFFECTIVE FROM THE DATE SIGNED, UNTIL THE END OF THAT YEAR, AND MUST BE RENEWED IMMEDIATELY, THE FOLLOWING YEARS THEREAFTER, AT THE START OF A NEW YEAR.


       

     

        November 24, 2024

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*

Confirm Email*
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Emergency Contact

First Name*

Last Name*

Emergency Contact's Phone Number*
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*

Relationship*

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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