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Parental Consent Form

Minors may participate at GAMET1ME Gaming events, including the tournaments and any related events (e.g., meals, practices, registration, etc.) with the signed consent of the minor’s parent or legal guardian (“Parent”). If a participant or spectator is under 18 years of age, he/she is considered a minor and must submit this consent form, signed by a parent or legal guardian, upon entry to the event. Parental Consent Forms will also be available at the onsite Registration. Minors Under 12: Participants and spectators under the age of 12 must be accompanied by their parent, legal guardian or a designated adult (18 years of age or older) at all times during the event. Minors under the age of 12 may not be left under the Supervision of event staff at any time. Consent to Attendance and Participation: The event is a video game tournament where an entry fee is charged and cash and other prizes may be awarded to certain winners. Parent further understands that the event may feature video game competitions featuring one or more video games that have an Entertainment Software Ratings Board (“ESRB”) rating of “M” for Mature, and that this rating indicates that the ESRB, a recognized industry adopted ratings agency, has deemed content of the video games unsuitable for children under 17 years of age. Assumption of Responsibility: Parent assumes all responsibility and liability for any and all damage and injury suffered by or caused by Minor while at the event or any areas surrounding the event. Release: By his/her signature, Parent gives his/her permission to allow the above named Minor to attend and participate in any and all event activities without restriction or limitation, including but not limited to playing video games with an ESRB rating of “M”, and Minor and Parent hereby release and hold harmless GAMT1ME Gaming, its affiliates, subsidiaries, suppliers, related companies, advertising and promotion agencies or partners, and any of their respective officers, directors, employees, representatives and agents, from any and all liability that may arise from Minor’s participation or Parent’s decision to allow Minor to participate in the event. Rights: In connection with Minor’s appearance at and participation in the event, the Parent, on behalf of Minor, give GAMET1ME Gaming, the other event sponsors and their respective licensees, designees and assigns (individually and collectively, “Producer”), the right to film, photograph and record Minor’s name, nickname, pseudonym, persona, picture, biographical material, voice and/or likeness and to use the same in any manner or media in connection with the event, and the advertising and promotion thereof or of Producer including, without limitation, in all forms of television, video gram, radio and other advertisements, promotions and publicity for Producer, the event and other motion pictures (collectively “Advertisements”); to broadcast, reproduce, distribute and exhibit such photographs and/or recordings, the event and/or the Advertisements, in any manner whatsoever, by any and all means, media, devices, processes and technology now or hereafter known or devised anywhere in the universe at any time in perpetuity; to give Minor’s name and information. About Minor on the event and in the Advertisements; and to edit, modify, adapt, make derivative works from, copyright and otherwise exploit the pictures and recordings as Producer elects. Minor and Parent, on behalf of Minor, hereby acknowledge that Minor’s appearance at the event shall not constitute a performance and that Minor shall not be entitled to any compensation for such appearance, nor to any guild or union payments for use or reuse of such appearance. Consent to Clips, Photos, Stills: Producer has Parent’s consent to incorporate any photographs, audio-only or audiovisual recordings in which Minor appears (including, without limitation, news, television and/or motion picture footage) in the event and/or Advertisements for use as outlined above as well as for historical documentation and/or archival purposes, including without limitation, on Producer’s website (e.g., showing Minor’s participation in the event); and Minor and Parent, on behalf of Minor, hereby waive any right to any additional compensation, including but not limited to, any excerpt and/or refuse fees and/or residual payments. Prohibited Drugs: Parent, on behalf of Minor, represent and warrant that Minor will not take any illegal drugs, abuse any prescription or over the counter drugs, partake or possess alcohol, nor take any performance enhancing drugs prohibited by the United States Anti-Doping Agency (USADA). Anyone using illegal drugs will be removed permanently from the event and local authorities will be contacted. Anyone who is found to be intoxicated or in the possession of alcohol will be removed from the event. Release: Minor and Parent, on behalf of Minor, understand that all of the foregoing is a material inducement for Producer to proceed with the event and Advertisements, and that Producer may rely on this Release in proceeding with the event and Advertisements. Minor and Parent, on behalf of Minor, hereby release the Releases and the advertisers, broadcasters and distributors of the event, (a) from any and all claims for damage or personal injury arising from or relating to Minor’s participation in the event, and (b) from all liability and obligation to Minor of any and all nature whatsoever arising out of or in connection with the exercise of the rights granted herein including, without limitation, from any liability for violation of rights of privacy, publicity, defamation, emotional distress or any similar right. Minor and Parent, on behalf of Minor, hereby indemnify the Releases from and against all claims, actions, losses, damages, judgments and liabilities resulting from any breach or alleged breach of this agreement and/or any actions or omissions by Minor while participating in the event. In no event shall Minor or Parent have, and Minor and Parent hereby irrevocably waive, any right to sue the Releases or to seek or obtain injunctive or other equitable relief in connection with the event, the Advertisements or any other productions, or the production, distribution, exhibition or other exploitation, or the advertising, promoting or publicizing of the event. This is the entire agreement and, subsequent to execution, cannot be modified without written consent. Wristband: Your wristband is your entry into the event. It will allow you to leave the main event gaming area and reenter. It will also be required for second day admittance. Do not remove your wristband. Parent/Legal Guardian: I have read this entire Consent Form and fully understand its contents, terms and conditions.

I am the Parent / Legal Guardian of:___________________________________________ and give permission for my son / daughter to participate in this and other GAMET1ME Events, including any related events. Dated: ____________________

Print Name: ________________________________

Signature:________________________________

Phone Number: ________________________

PARENTAL CONSENT FORM

THIS FORM MUST BE SIGNED BY THE LEGAL PARENT OR GUARDIAN

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Homework 1st in Clemmons

Homework 1st in Clemmons is a great after school option for kids 7 and up.

Posted by Gamet1me on Sunday, August 9, 2015

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