New Player Registration

Tell Us About You

Legal Name *

Preferred Name *We will only refer to you by your preferred name.

Preferred Pronouns *She/HerHe/HimThey/ThemOther

Other Pronouns

Birth Date *

Month

Day

Year

You must be 17 or older to play Xadune.

Email Address *

Phone *

Emergency Contact

In the unlikely case of injury on site, please provide an emergency contact.

Emergency Contact Name *

Emergency Contact Phone Number *

Medical Information

Do you have any food allergies? *YesNo

Please list food allergies.

Do you have any medication allergies? *YesNo

Please list medication allergies.

Do you have any chronic medical conditions which may impact your LARP event or First Aid Care? *YesNoExamples: Asthma, Hemophilia, Ehlers-Danlos

Please list chronic medical conditions.

Do you already have a medical ID bracelet?YesNo, but I will prior to the eventNo, but I will acquire one in the future

Do you have any medications which must be kept on your person? *YesNoExample: Asthma Inhaler

Do you require special storage (e. g., refrigeration) for your medication? *YesNo

Dietary Restrictions

Waiver

of Liability, Release, Assumption of Risk And Covenant Not To Sue By Participant In Xadune

I do hereby make the following waiver, release, assumption of risk, covenant not to sue and statements in consideration of my participation in the live-action roleplaying game Xadune:

1. WAIVER OF LIABILITY, RELEASE AND ASSUMPTION OF THE RISK.

I waive any and all claims against the live-action role-playing game Xadune and all employees, agents or volunteers of Xadune for injury, illness, death or property damages that may directly or indirectly result from my voluntary participation in Xadune. Additionally, I release such parties from any and all loss, damage, liability, claim, demand, action, cause of action, cost, or damages resulting therefrom, which in any way relate to or arise out of my voluntary participation in Xadune. Being duly aware of the risks and hazards associated with the aforementioned activity, I hereby voluntarily assume full responsibility for the risk of bodily injury, death, or property damage that may directly or indirectly result from my voluntary participation in the live-action role-playing game Xadune. I expressly agree that this waiver, release and assumption of the risk agreement is intended to be as broad and inclusive as permitted by the laws of the State of Georgia, and that if any portion hereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. It is my intention that this waiver of liability, release and assumption of the risk shall apply to me and also to my spouse, assigns, parents, guardian, heirs, estate and legal representatives.

2. COVENANT NOT TO SUE.

I further covenant and agree that for the consideration stated above I will not file suit against Xadune and all employees, agents or volunteers of Xadune for any injury, illness, death or property damages that may directly or indirectly result from my voluntary participation in Xadune.

3. ACKNOWLEDGMENT.

I acknowledge that the purchase of liability insurance by Xadune shall not affect the waiver, release and covenant not to sue effectuated by this document. I further acknowledge that I have read and understand this document, and in affixing my signature thereto, I signify my acceptance of this Waiver of Liability, Release, Assumption of Risk and Covenant not to Sue.

Participant's Legal Name *

Participant's Age *I am 18 years of age or older.I am 17 years of age.

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Participant's Signature *

Parent or Guardian's Legal Name *

Parent or Guardian's Signature *

Today's Date *