"Aim True" Release Form

"Aim True" Laser Tag Youth Night

Participant Registration
Name of Participant*
Date of Birth*

MonthDayYear
Age
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Participant Cell Number

Area CodePhone Number
May we text you at this number?

YesNo
Participant Email
example@example.com
Emergency Contact Name*
Emergency Contact Number*

Area CodePhone Number
Photography Rights Release
I consent to and authorize the use and reproduction by Appalachian Bible College, or anyone authorized by Appalachian Bible College, of any and all photographs and/or videos which may be taken during the activity in which I am participating or other activities related thereto, for advertisement or promotional purposes. All digital files, together with the prints shall constitute property of Appalachian Bible College or those authorized by Appalachian Bible College to take pictures or videos, solely and completely.*

YesNo
Release and Assumption of Risk Form
I, the undersigned, am aware that during the activities described in this form and in which I am participating, under the arrangements of Appalachian Bible College, its agents, employees, and associates, certain risks and dangers may be present or occur, including but not limited to the outlined risks following;

I am aware that during the laser tag activity in which I am participating under the arrangements of Appalachian Bible College, that certain risks and dangers may be present or occur, including but not limited to, accidents or injuries related to the use and handling of laser tag equipment and falls or slips while walking, running, crawling or climbing. Laser tag participants must be age 10 or older.

In consideration of and as part payment for the right to participate in such activities arranged for me by Appalachian Bible College, its agents, employees, and associates, I have and do hereby assume all of the above hazards and other related risks which may be encountered on said activities including preliminary and subsequent thereto, and I do hereby hold Appalachian Bible College, its agents, employees, and associates harmless from any and all liability, actions, causes of action, debts, claims and demands of every kind and nature whatsoever which I now have or which may arise from, or in connection with my participation in any activities related thereto.

I further agree to obey and follow all rules, regulations, and instructions of Appalachian Bible College, its agents, employees, and associates. The terms hereof shall serve as a release, indemnification, and assumption of risk for my heirs, executors and administrators and for all members of my family, including any minors accompanying me. This is a legally binding document, which I have read and understand. A Parent or Legal Guardian must give permission for all persons under age 18.
Release and Assumption of Risk Agreement*

I have read and agree to the release and assumption of risk as stated above to be in effect for any laser tag event provided by Appalachian Bible College in which I participate within one year from the date of signature below.
Signature of Participant*
Signature Date

MonthDayYear
Date
Parent or Legal Guardian Permission for Minors
Parent/Guardian Agreement*

I hereby certify that I am the parent or the court-approved legal guardian of the minor who has signed above. I hereby grant such minor permission to participate in activities provided by Appalachian Bible College within one year of the date of signature below, and in such minor's behalf, I hereby agree to all of the terms of the RELEASE AND ASSUMPTION OF RISK/PHOTOGRAPHY RIGHTS FORM printed above
Parent/Guardian Signature*
Signature Date

MonthDayYear
Date
Should be Empty:

"Aim True" Laser Tag Youth Night

Photography Rights Release

Release and Assumption of Risk Form

Parent or Legal Guardian Permission for Minors