Laser - Mayhem Declaration “Laser Mayhem treats the Health and Safety of all participants as a priority. As with any sport/leisure activity there are hazards associated with laser tag. I understand that: Laser tag is physically and mentally intense and may require extreme exertion to play. The possibility of injury to myself and others exists. The playing area has varying terrain and may be slippery and have many trip hazards There is the possibility of fallen tree debris. No physical contact is allowed between participants I confirm and agree that: I am physically fit and mentally able to take the strain and exertion involved in playing laser tag. I have no medical condition that would prevent me from playing. (Please make the game manager aware if you use an inhaler or any other medical aid) I am fully aware of the risk to myself and others involved in laser tag. I will comply with the rules and use all equipment as instructed and not so as to injure or hurt others. I will obey all instructions from the game manager/site marshals. If after attending the safety talk you do not with to play a full refund will be given to you only. Please print clearly and in CAPITALS Name: ……………………………………… Date of Birth / / Address: ……………………………………………………………………………………………………………… ……………………………………………………………………………………………………………… ……………………………………………………………………………………………………………… ……………………………………………………………………………………………………………… ……………………………………………………………………………………………………………… Telephone Number…………………………………………………………………………………………… E-mail address: …………………………………………………………………………………………………… Post code: ………………………………………………… Signed: …………………………………………………………………… Date: / / Players under 18 must have this form countersigned by a parent, guardian or organiser - only after you have understood the safety talk and all the site rules. Minimum age 8 years old. …………………… Laser Mayhem may place information about you on our database. Please tick this box if you do not wish to be placed on our database. UKPSF Accredited Site Member Number 3