Esports Club Registration

Esports Community Registration

Complete the form below and submit payment to register!


Please enable JavaScript in your browser to complete this form.
Name
mm/dd/yyyy
If between grades, list the grade the player will be in at the start of the next school year.
Relationship to Gamer
Checkbox Items
ALPHA ESPORTS AND TECHNOLOGY CONSENT, RELEASE, WAIVER, AND INDEMNITY AGREEMENT

TO BE READ AND SIGNED BY EACH PLAYER OR THE PARENT/GUARDIAN OF EACH PLAYER UNDER THE AGE OF 17 BEFORE PARTICIPATING IN AND/OR BEING A PART OF THE EVENT HEREINAFTER DESCRIBED.

In consideration of being permitted to participate at Alpha Esports & Technology or be a part of an Alpha Esports & Technology Event (hereinafter referred to as the “Event”), Releasor, for themselves, their spouse, legal representatives, heirs, and assigns, (herein collectively referred to as “Releasor”) hereby releases, waives, and discharges in advance, Alpha Cyber Security LLC and Alpha Esports & Technology (“Company”), and their respective officers, agents, servants, employees, guests, business invitee, promoter, sponsors, Landlord and advertisers (herein collectively referred to as “Releasees”), from all liability to Releasor, for any and all loss or damage, and any claim or damages resulting from and/or on account of injury to Releasor’s person or property, even injury resulting in the death of the Releasor, whether caused by the negligence of Releasees or otherwise while the Releasor is participating in or being a part of the Event being conducted by Releasees. This Consent, Release, Waiver, and Indemnity Agreement specifically embraces each occurrence and action authorized or promoted by said Releasees during the entire Event and applies to each circumstance or activity herein above mentioned and has the same effect as if executed after every activity or occurrence in which the Releasor participates so that the parties herein intending to be released and indemnified shall be fully and effectively released and indemnified as to every occurrence and activity hereinabove described.

Additionally, should it be necessary according to the judgment of officials or coaches in the program, any licensed physician or nurse on the scene, or any emergency medical professional, for myself/my child to be treated for injuries, diagnosed or surmised, and/or to be transported to a medical facility for additional treatment, I hereby give permissions for this to be done, even if I am not on the scene to provide verbal authorization, and if I am on the scene, even if I decline to have said child treated and/or transported.

ADULT SUPERVISION
I understand that children under the age of 16 need to be accompanied by an adult while using the facility. Should that supervision leave the facility at any time they assume all responsibility.

I FULLY RECOGNIZE THAT IF THE GUEST IS INJURED OR THEIR PROPERTY IS DAMAGED WHILE PARTICIPATING IN OR BEING A PART OF THE EVENT CONDUCTED BY RELEASEES, I WILL HAVE NO RIGHT TO MAKE A CLAIM OR FILE A LAWSUIT AGAINST THE RELEASEES EVEN IF THEY OR ANY OF THEM CAUSE MY INJURY OR DAMAGE.

GAME CONTENT
Some game ratings do include violence and/or mature content. I am aware of the game content and rating system (E, T, M, A) and give my child permission to participate in the game, fully understanding that there is mature content and releasing Alpha Esports & Technology from any liability or fault for any resulting negative effects my child may or may not experience. (See below to provide consent for a specific game rating classification)

MULTI-AGE ENVIRONMENT
I acknowledge that unless specifically identified for an age bracket, many of the programs run by Alpha Esports & Technology may be multi-age and the content and game ratings will vary based on members using the space at a specific time and date.

$0.00