SAFETY. This is to certify that I, as a parent/guardian with legal responsibility for the minor child identified on this form, and/or for myself acknowledge that myself/my child will be engaged in activities as part of the Affinity Esports program that involve the risk of injury, and that I do recognize and accept the risk, whether foreseeable or unforeseeable, with participation in activities of recreation and instruction at the Affinity Esports Facility. On behalf of myself/my child and Affinity Esports, their affiliates, administrators, directors, agents, coaches, assistant, clinicians, employees, other participants, and sponsor agencies, from any and all claims and damages, arising out of my minor child’s involvement or participation in the programs of the Affinity Esports. Additionally, should it be necessary according to the judgment of officials or coaches in the program, any licensed physician or nurse on the scene, or any emergency medical professional, for myself/my child to be treated for injuries, diagnosed or surmised, and/or to be transported to a medical facility for additional treatment, I hereby give permissions for this to be done, even if I am not on the scene to provide verbal authorization, and if I am on the scene, even if I decline to have said child treated and/or transported.

ADULT SUPERVISION. I understand that children under the age of 16 need to be accompanied by an adult while using the facility. Should that supervision leave the facility at any time they assume all responsibility.

COVID-19 & COMMUNICABLE DISEASE UNDERSTANDING. Participation includes possible exposure to and illness from infectious diseases including, but not limited to, MRSA, influenza, and COVID-19. While particular rules and personal discipline may reduce this risk, the risk of serious illness and death does exist; and I knowingly and freely assume all such risks, both known and unknown, even if arising from the negligence of the releases or others, and assume full responsibility for my participation. I agree to comply with all precautionary rules against infection diseases. If, however, I observe any significant hazard, I will remove myself from participation and bring such to the attention of the nearest Affinity Esports staff member immediately.

PHOTO/SOCIAL MEDIA. I agree that Affinity Esports may photograph or videotape myself/my child, and that Affinity Esports may use those photographs or video footage for its marketing purposes. I release Affinity Esports from any claim or liability related to that use, and waive all claims for myself, my heirs and assignees against the individual staff persons and Affinity Esports.

GAME CONTENT. Some game ratings do include violence and/or mature content. I am aware of the game content and rating system (E, T, M, A) and give my child permission to participate in the game, fully understanding that there is mature content and releasing Affinity Esports from any liability or fault for any resulting negative effects my child may or may not experience. (See below to provide consent for a specific game rating classification)

MULTI-AGE ENVIRONMENT. I acknowledge that unless specifically identified for an age bracket, many of the programs run by Affinity Esports will be multi-age and the content and game ratings will vary based on members using the space at a specific time and date.

Version 2 - Updated on 5/11/22