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Sports & Entertainment Family Entertainment
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230
Questions
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1
Email
example@example.com
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2
Provide hours of operation:
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3
Provide park capacity:
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4
Describe parking facilities and lighting:
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5
Is security present:
During open hours
Yes
No
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6
Is security present:
During closed hours
Yes
No
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7
Are security personnel:
Please Select
Employed
Subcontracted
Please Select
Please Select
Employed
Subcontracted
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8
If “subcontracted”, provide the name of the subcontractor and attach certificate.
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9
Security Armed
Armed
Unarmed
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10
Babysitting or Daycare Services
Yes
No
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11
If “Yes”
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12
What is the child to attendant ratio?
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13
Describe service provided:
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14
Are these services provided by:
Please Select
Employees
Subcontractors
Please Select
Please Select
Employees
Subcontractors
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15
Describe first aid facilities:
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16
Provide the number of employees certified in CPR:
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17
What is the minimum number of CPR trained employees on duty at any time?
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18
Provide distance to ambulance/response time:
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19
Provide distance to fire department/response time:
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20
Closest fire hydrant: (ft.)
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21
Number of extinguishers on premises
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22
Is facility equipped with emergency lighting?
Yes
No
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23
Describe physical security (i.e., alarms, deadbolts, fencing, etc.):
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24
Does applicant host special events such as concerts or fireworks displays?
Yes
No
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25
List all the rides, attractions, areas at your park and the number of units applicable (# karts, holes, games, etc.):
Attractions List - Areas & Rides
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26
Attractions List - # of Units
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27
Attractions List - Receipts
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28
What is the frequency of attraction self-inspection?
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29
Is this inspection documented?
Yes
No
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30
Is instructional signage posted for each attraction?
Yes
No
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31
If “Yes”, describe:
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32
Arcades:
If "Not Applicable", please select
"No"
and proceed to
Question 2
.
Yes
No
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33
Provide the following attraction information:
# of units
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34
Provide the following attraction information:
Receipts
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35
Provide the following attraction information:
# of attendants
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36
Does the applicant:
Please Select
Own games
Lease games
Please Select
Please Select
Own games
Lease games
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37
Who provides service/maintenance on machines?
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38
Describe type of floor covering:
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39
Are all machines properly grounded?
Yes
No
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40
Batting Cages
:
If "Not Applicable", please select
"No"
and proceed to
Question 3.
Yes
No
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41
Provide the following batting cage information:
# of units:
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42
Provide the following batting cage information:
Receipts
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43
Provide the following batting cage information:
# of attendants:
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44
Manufacturer:
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45
Oldest unit:
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46
What is the minimum age for participants:
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47
Provide the number of participants allowed in cage at one time:
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48
Are helmets required?
Yes
No
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49
Are cages completed closed?
Yes
No
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50
Are areas clearly marked for right or left handed batters?
Yes
No
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51
Are home plates clearly marked?
Yes
No
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52
Can participants alter settings on the pitching machines?
Yes
No
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53
What is the maximum speed for ages: Under 12
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54
What is the maximum speed for ages: Over 12
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55
Billiards
:
If "Not Applicable", please select
"No"
and proceed to
Question 4.
Yes
No
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56
Provide the following billiard information:
# of units:
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57
Provide the following billiard information:
Receipts:
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58
Provide the following billiard information:
# of attendants:
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59
Manufacturer
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60
Oldest unit: (Year)
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61
Coin operated
Yes
No
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62
Is it Rented?
Yes
No
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63
Floor Surface
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64
Does applicant host billiard tournaments?
Yes
No
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65
Bumper Boats
:
If "Not Applicable", please select
"No"
and proceed to
Question 5.
Yes
No
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66
Provide the following bumper boat information:
# of units:
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67
Provide the following bumper boat information:
Receipts:
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68
Provide the following bumper boat information:
# of attendants:
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69
Manufacturer:
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70
Oldest unit:
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71
Provide age/height requirements:
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72
Provide depth of the water:
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73
Is depth clearly marked on side of pool?
Yes
No
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74
Does applicant use colored dye in water?
Yes
No
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75
Provide the height of observation fence: feet
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76
How are propellers protected?
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77
What is the amount of gasoline on premises?
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78
How is the fuel stored?
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79
Provide the number of attendants:
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80
CPR certified:
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81
First aid certified:
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82
Where are boats refueled?
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83
Bumper Cars
: If "
Not Applicable
", please select "
No
" and proceed to Question 6.
Yes
No
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84
Provide the following bumper car information:
# of units:
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85
Provide the following bumper car information:
Receipts:
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86
Provide the following bumper car information:
# of attendants:
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87
Manufacturer:
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88
Oldest unit:
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89
Provide age/height requirements:
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90
Are cars equipped with a dash pad and headrest pad?
Yes
No
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91
Are seat belts required?
Yes
No
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92
If “No”, please explain:
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93
How is the public restrained from floor area while cars are in motion?
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94
Concessions
: If "
Not Applicable
", please select "
No
" and proceed to Question 7.
Yes
No
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95
Provide the following concession information:
# of stands:
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96
Provide the following concession information: Receipts
:
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97
Provide the following concession information: Square footage: feet
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98
Describe goods sold:
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99
Are food operations handled by:
Applicant
Subcontractor
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100
If “subcontractor”, attach certificate.
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101
Is there a grill on premises?
Yes
No
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102
Is there an automatic Ansul system protecting cooking/frying surfaces?
Yes
No
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103
Advise if hoods/ducts are cleaned by:
Applicant
Subcontractor
Type option 3
Type option 4
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104
Provide cleaning schedule for hoods/ducts:
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105
Driving Ranges
: If "
Not Applicable
", please select "
No
" and proceed to Question 7.
Yes
No
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106
Provide the following range information:
# of stalls:
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107
Provide the following range information:
Receipts:
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108
Provide the following range information:
# of attendants:
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109
Provide the following range information:
# levels:
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110
Are restricted areas marked?
Yes
No
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111
Describe partitions between tee boxes:
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112
Are other attractions exposed to range?
Yes
No
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113
If “Yes”, describe:
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114
Go Karts
: If "
Not Applicable
", please select "
No
" and proceed to Question 9.
Yes
No
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115
Provide the following information: # single karts:
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116
Provide the following information: # double karts:
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117
Provide the following information: # tracks:
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118
Receipts
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119
Manufacturer:
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120
Oldest unit:
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121
Provide the number of attendants:
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122
Provide the number of and type of extinguishers:
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123
Where are attendants and extinguishers located? (Attach diagram and mark placement)
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124
Provide age/height requirements:
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125
Provide maximum speed of karts:
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126
Are governors installed?
Yes
No
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127
What is the maximum number of karts on track at one time?
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128
Are seat belts required?
Yes
No
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129
If “No”, please explain:
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Small
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130
Are helmets required?
Yes
No
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131
Are hair socks required?
Yes
No
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132
Is engine completely covered?
Yes
No
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133
Do karts have roll bars?
Yes
No
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134
Are there bumper guards?
Yes
No
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135
Describe remote control device for shut down:
Huge
Large
Normal
Small
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Ok
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136
Is double riding allowed?
Yes
No
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137
Is there a headrest support?
Yes
No
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138
Describe the track surface:
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139
Describe guardrail protection:
Huge
Large
Normal
Small
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140
What is the amount of gasoline on premises?
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141
How is the fuel stored?
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142
Kiddie Rides
: If "
Not Applicable
", please select "
No
" and proceed to Question 10.
Yes
No
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143
Provide the following ride information:
# of units:
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144
Number of Receipts:
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145
Number # of attendants:
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146
Are all rides in full compliance with ASTM-24 standards?
Yes
No
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147
Miniature Golf
: If "
Not Applicable
", please select "
No
" and proceed to Question 11.
Yes
No
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148
Provide the following course information: Total # of holes:
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149
Number # of courses:
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150
Receipts:
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151
Number
# of attendants
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152
Manufacturer:
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153
Oldest unit:
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154
Are walkways marked and lighted?
Yes
No
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155
What is the surface of the walkway?
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156
Provide the number of course structures equipped with moving parts:
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157
Is access by public limited?
Yes
No
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158
Are lights covered and protected?
Yes
No
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159
Are ground fault interrupters in place?
Yes
No
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160
Soft Play/Ball Crawl
: If "
Not Applicable
", please select "
No
" and proceed to Question 12.
Yes
No
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161
Provide the following play area information: Manufacturer:
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162
Oldest unit:
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163
How is equipment anchored?
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164
Describe the type of floor covering:
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165
Provide the number of employees supervising play area:
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166
Is there a set ratio of attendants to children?
Yes
No
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167
Will each attraction be supervised by an attendant?
Yes
No
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168
How often are maintenance inspections done?
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169
Does applicant deviate from manufacturer’s recommendations for assembly?
Yes
No
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170
Parties
: If "
Not Applicable
", please select "
No
" and proceed to Question 13.
Yes
No
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171
Provide the following event information: Receipts:
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172
Number # of attendants:
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173
# of parties: per week
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174
# of parties: per month
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175
Describe where parties are held:
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176
Number of exit doors in the room
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177
Average number of patrons
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178
Maximum number of patrons
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179
Are there age restrictions?
Yes
No
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180
Describe event supervision:
Huge
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Small
Ok
quote
Created with Sketch.
Ok
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181
Laser Tag
: If "
Not Applicable
", please select "
No
" and proceed to Question 14.
Yes
No
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182
Provide the following ride information: Receipts:
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183
Square footage: sq. ft.
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184
# of levels:
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185
Is area inflatable?
Yes
No
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186
How many people participate per session?
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187
How many minutes per game?
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188
How many employees per session?
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189
How many exits (including emergency exits)?
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190
Are emergency exits and lighting checked daily?
Yes
No
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191
Describe the venue:
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Small
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192
What type of play?
Please Select
Individual
Team
Please Select
Please Select
Individual
Team
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193
Climbing Walls
: If "
Not Applicable
", please select "
No
" and proceed to Question 15.
Yes
No
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194
Are climbing walls:
Portable
Stationary
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195
Provide height of wall:
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196
Describe procedures and requirements for climbing wall safety training for all employees:
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quote
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Ok
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197
Describe fall protection characteristics of portable or stationary walls:
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
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198
Are any portable walls inflatable or air pressurized?
Yes
No
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199
What is the maximum number of people allowed on the wall at one time?
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200
Is there a minimum age requirement for participants?
Yes
No
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201
Does applicant require all participants to sign a release of liability or waiver?
Yes
No
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Next
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202
Ziplines
: If "
Not Applicable
", please select "
No
" and proceed to Question 16.
Yes
No
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203
Does applicant require all participants to sign a release of liability or waiver?
Yes
No
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204
Does applicant have a minimum and maximum height and weight requirement?
Yes
No
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205
If “Yes”, please list:
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quote
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206
Does applicant have different size harnesses to accommodate different size people?
Yes
No
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207
Provide height at the top of the platform:
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208
Provide height at the end of the platform:
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209
How many attendants are: At top -
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210
How many attendants are: At bottom -
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211
Was the zipline built according to ACCT standards?
Yes
No
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212
How often are inspections performed:
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213
Does the zipline require participants to hand brake?
Yes
No
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214
If “No”, what method is used to stop the participant?
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215
Is fencing erected along the entire path of the zipline?
Yes
No
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216
Ropes Courses
: If "
Not Applicable
", please select "
No
" and proceed to Question 17.
Yes
No
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217
Does applicant have membership status with the Association of Challenge Technology?
Yes
No
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218
Does applicant adhere to ACCT standards for Challenge Course Training?
Yes
No
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Next
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219
Inflatable/Bounce Houses
: If "
Not Applicable
", please select "
No
" and proceed to Question 18.
Yes
No
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220
Are inflatables taken outside the facility?
Yes
No
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221
What type(s) of inflatables does the applicant have?
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Large
Normal
Small
Ok
quote
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222
List height and length of each inflatable:
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223
If the inflatable is a slide, is there a cover to prevent standing and jumping from the top?
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224
Is there a minimum of four (4) feet of clearance around the inflatable or does applicant follow the manufacturer’s guidelines regarding clearance?
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225
Are inflatables routinely inspected?
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226
Does applicant rent, loan, or lease out any inflatable devices?
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227
Is there a landing surface covered by adequate landing material surrounding each inflatable device?
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228
Does applicant restrict use of inflatable to groups of children of similar size and weight?
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229
Other Amusement Devices
: If "
Not Applicable
", please select "
No
" and proceed to Section IV.
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230
Are there any Eurobungees available onsite?
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231
Are there any trampolines onsite?
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232
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