Video Game Tournament / ELeague Parental Consent Form “M” Consent Form

Waiver Form:

Controller Video Game Tournament / E-League

For your child to participate in the activities of the Controller Video Game Tournament / E-League, which includes console video game play, we require your consent for your child to participate. Every participant’s parent or legal guardian must read, sign, and submit this waiver to Controller prior to the commencement of the tournament.

I am the parent or legal guardian of the participant specified below who is under 18 years of age. I hereby consent to this participant’s attendance and participation without restriction in the Controller Video Game Tournament / E-League. Activities consisting primarily of console video game play, and video game tournaments in which entry is free of charge or by entrance fee / league fee, and prizes may be awarded to certain winners.

I understand that the video games may have a rating of M “Mature” assigned by the Entertainment Software Rating Board (ESRB). I am aware that this rating indicates the ESRB has determined that the content is generally suitable for ages 17 and up. May contain intense violence, blood and gore, sexual content and/or strong language.

In consideration of the right and opportunity to participate in the Controller Video Game Tournament / E-League conducted by Controller, I hereby acknowledge and agree as follows: consent to the use participant’s name, picture, and/or likeness in publicity and advertising for the Controller Video Game Tournament / E-League in any and all media and/or promotion. In addition, I consent to no claims – past, present, future – against hosts of event for injuries or loss/damage of personal property during the event. By signing below, I certify that I am the legal guardian of the participant for whom I am signing. I have read and agreed to all material stated above. I have read the tournament’s rules and regulations that are available online at www.sogoaction.com and at Controller’s location prior to check-in.

I authorize my child to play the following titles as organized The Entertainment Software Rating Board (ESRB; http://www.esrb.org/). Controller will limit the games available to play based on the parental limits checked below. Initial each rating system your minor child is authorized to play.


RATING CATEGORIES FOR “M” E-LEAGUE GAMES AT CONTROLLER

Initials

I authorize my child to play the game title contained within the ESRB "M" rating

MATURE

Content is generally suitable for ages 17 and up. May contain intense violence, blood and gore, sexual content and/or strong language.


Child Participant Information (required for each child participating in video gaming activities):

Child Name


CHILD PARTICIPANT

Any adult signing on behalf of a minor represents to the Released Parties that he/she is the parent or legal guardian of the minor, he/she has legal capacity and authority to act for and on behalf of the minor, and agrees to INDEMNIFY AND DEFEND the Release Parties from and against all claims or liabilities resulting from or relating to any insufficiency of the undersigned's legal capacity or authority to act for or on behalf of the minor herein.


Who will be participating?

Adult  Adult and Children  Children

Signee Information

Sign Here

By clicking 'I Agree' below, you agree that you have read and agree with the terms of the waiver and that the information you provided is accurate. You furthermore agree that your submission of this form, via the 'I Agree' button, shall constitute the execution of this document in exactly the same manner as if you had signed, by hand, a paper version of this agreement.