Esports Waiver This form is for the parents of campers in any of our Esports camps. Each Esports camper only needs this form filled out once per year. Camper's Name(Required) First Last Camper's Date of Birth Month Day Year Parent/Guardian's Name(Required) First Last Parent/Guardian Email(Required) Enter Email Confirm Email Parent/Guardian Phone Number(Required)Esports Waiver(Required)I am the parent or legal guardian of the camper identified above, who is under 18, but AT LEAST 10 years of age. I hereby consent to his/her participation in video game play at the Triple Win campus, 1211 Webster Ave. Waco, Texas 76706. I am aware that the Triple Win campus may have PC and console video games with ratings of “E”, “T” or “M” as specified by the Entertainment Software Ratings Board. I authorize my child to play the following ratings. Triple Win Waco will limit the games available to play based on the parental limits selected below. "E" For Everyone: Content is generally suitable for all ages. May contain minimal cartoon, fantasy, or mild violence and/or infrequent use of mild language. "T" for Teen: Content is generally suitable for ages 13 and up. May contain violence, suggestive themes, crude humor, minimal blood, simulated gambling, and/or infrequent use of strong language. "M" for Mature: Content is generally suitable for ages 17 and up. May contain intense violence, blood and gore, sexual content, and/or strong language. Consent(Required)By selecting the “I agree” button, I am signing this document electronically. I agree that my electronic signature is the legal equivalent of my manual/handwritten signature on this document. By selecting “I agree” using any device, means, or action, I consent to the legally binding terms and conditions of this document. I further agree that my signature on this document is as valid as if I signed the document in writing. I am also confirming that I am authorized to enter into this Agreement. If I am signing this document on behalf of a minor, I represent and warrant that I am the minor’s parent or legal guardian. With my e-signature, as the Parent or Legal Guardian, I give my permission to allow my child, a minor, to participate in PC and console game play at Triple Win Waco. I release Triple Win Waco, including its organizers, owners, sponsors, and affiliates, including Nexus Esports, from any and all liabilities that may arise from my decision to allow the minor to participate. I understand that the programs and activities offered at and by the Triple Win campus may involve exposure to content deemed inappropriate to some children. With the nature of gaming, open-play format, and competition, there is the chance that inappropriate images, language, and content may be viewed and/or heard by a minor. I assume the risks and hazards incident to such participation. I understand that I am responsible for determining and disclosing whether my minor child should be limited to certain game titles or activities. I agree 70443
