Participant Information
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Email *
First Name: *
Last Name: *
Date of Birth: *
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Phone Number:
Address:
By signing this document, you assume certain risks, and waive certain legal rights including the right to sue Finem Respice, LLC (Mobil Mayhem) and its owners, officers, agents, employees, representatives, successors and assigns. Read carefully before signing.
Assumption of Risk
I understand and accept that there are a variety of risks inherent to laser tag, water tag, archery tag, escape games or other activities I choose to participate in with Finem Respice, LLC (Mobil Mayhem).  I voluntarily assume all risks including, but not limited to; physical exertion, variation in weather, terrain, rocks, trees, ice, buildings, structures, and other forms of natural or man-made obstacles, exposure to insects, animals, illness or disease, and collisions with equipment, obstacles, and other participants and spectators.  I understand that the risks include bodily injury that may lead to permanent disability or death.
Waiver
I waive any and all claims that I have or may have in the future against Finem Respice, LLC (Mobil Mayhem), and any other associated Landlords, and their successors or assigns.
Indemnification
I agree to indemnify and defend Finem Respice, LLC (Mobil Mayhem) against all claims, causes of action, damages, judgments, costs or expenses, including attorney fees and other litigation costs, which may in any way arise from my or my family's use of or presence upon the facilities of Finem Respice, LLC (Mobil Mayhem).
Release
I release Finem Respice, LLC (Mobil Mayhem), and other associated Landlords and their officers, agents, and employees from any and all liability for any loss, damage, injury or expense that I may suffer, or that my next of kin may suffer, as a result of my participation in the Activities, use of the Mobil Mayhem  equipment, or any other cause whatsoever, including negligence or breach of contract by Mobil Mayhem.
Dispute Resolution
The parties will attempt to resolve any dispute arising out of or relating to this Agreement through friendly negotiations amongst the parties. If the matter is not resolved by negotiation, the parties will resolve the dispute using the below Alternative Dispute Resolution (ADR) procedure. Any controversies or disputes arising out of or relating to this Agreement will be submitted to mediation in accordance with any statutory rules of mediation. If mediation is not successful in resolving the entire dispute or is unavailable, any outstanding issues will be submitted to final and binding arbitration under the rules of the American Arbitration Association. The arbitrator's award will be final, and judgment may be entered upon it by any court having proper jurisdiction.
Binding Effect and Choice of Law
This agreement will be effective and binding on my heirs, next of kin, assigns, executors, administrators, and personal representatives.  The application and interpretation of this agreement will be determined in accordance with the laws of the State of Colorado without any reference to conflicts of laws.
Agreement to Follow Directions
agree to observe and obey all posted rules and warnings, and further agree to follow all oral instructions or directions given by Finem Respice, LLC (Mobil Mayhem), or the employees, representatives or agents of Finem Respice, LLC (Mobil Mayhem).
Photo Release
I give my permission and assign my right, title and interest to Mobil Mayhem to use, publish, or reproduce any photograph or recording that contains my image and/or voice in unlimited quantities, in whole or in part, for any purpose, including, but not limited to, promotion or advertising.
Minor Aged Participants
All participants under age 18 must have a parent or legal guardian sign their waiver.
First Name (Parent/Legal Guardian)
Last Name  (Parent/Legal Guardian)
Email  (Parent/Legal Guardian)
Phone Number (Parent/Legal Guardian)
Address (Parent/Legal Guardian)
Who is signing? *
Certification & Attestation: *
Required
COVID-19 Symptoms *
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By signing below and submitting this claim form I hereby affirm under oath that: (1) I am 18 years of age or older; (2) I am the person identified above (or, if the person identified above is a minor, I am the parent or guardian of that person); and (3) the information provided in this Claim Form is, to the best of my knowledge, true and correct. *
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