JAEGERZ LASERTAG

ACKNOWLEDGEMENT AND RELEASE

For and in consideration of the admission price and the permission to use the Jaegerz Facilities you hereby agree to and acknowledge the following:

1. That you have read this entire document and completely understand its contents. You also acknowledge that any questions about the content of this document or use of the premises and facilities have been answered by a representative of Jaegerz.

2. That you accept all responsibility for property damage to Jaegerz’s premises, facilities, lasertag equipment, vending machines, and electronic games caused by your actions. You also understand that the term “Jaegerz’s premises and facilities” includes the building, all fixtures in and around it, the surrounding parking area and the equipment associated with it.

3. That you acknowledge that the owners and operators of Jaegerz have employed diligent efforts and care in making the facilities and premises as safe as possible; and that despite the foregoing efforts, you understand that there are, nevertheless, certain inherent risks in using the facilities and premises including permanent disability and death. Among these risks are possible trips, falls, collisions with other people, their lasertag vests or phasers, arena props, and equipment. You specifically acknowledge the existence of these risks, known and unknown, and agree to the use of the premises and facilities with the full understanding of the same.

4. That if you or your property are injured while using the premises and facilities as a result of the inherent risks and dangers mentioned above, you agree to release, indemnify and hold Jaegerz LLC., your employer or event sponsor harmless from any injuries or any expenses associated therein to the fullest extent as permitted by law.

5. That you agree to obey all rules and regulations for the use of these facilities and premises, which are posted throughout the premises, and the directions, if any, given by Jaegerz’s representatives either before, during or after use of the same.

6. That you acknowledge if you are under the age of (17) years, that you have discussed the terms and conditions of this document with your parents, and that your parents, after reading this document, consent to you signing the same and, further, that you have been authorized by your parents to agree to the specific terms and conditions contained herein.

DO NOT SIGN THIS ACKNOWLEDGEMENT AND RELEASE UNLESS YOU HAVE READ IT AND UNDERSTAND IT. IF YOU DON’T UNDERSTAND IT, ASK A JAEGERZ EMPLOYEE FOR ASSISTANCE.

Please Print Clearly

Name:____________________________________________________________________________________

(First) (Last)

Signature:_______________________________________________Date:______________________________

Address:_____________________________________________ City/State/Zip:_________________________

Date of Birth:______/______/_______ Email Address for coupons/discounts:___________________________

IF UNDER 17 – MUST BE CO-SIGNED BY AN ADULT

Adult Co- Signature: _____________________________________________ Date: _______/_______/_______

REQUIRED ADULT CONTACT PHONE NUMBER:________________________________________________________